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You have two options for placing your order:

  • Via PO. Setting up a corporate account with Cannuflow is quick and easy. Simply complete this order form and include your PO number. A Cannuflow sales order representative will call you for the additional information required to set up your account.
  • By completing this order form. Your sales order information will automatically be emailed to our sales department and a Cannuflow sales order representative will call you to provide you with the product pricing and for your credit card information.

Should you need any help placing your order, please call us toll-free at 1-866-484-5400.

 

BUYER'S INFORMATION
   
*Name:
Title:
*Email:
*Company or
hospital name:
Ship-to address (address to which products will be shipped):
*Address:
*City:
*State:      *Zip:  -
Billing address (if billing address is different from ship-to address, enter it below):
*Address:
*City:
*State:      *Zip:  -
*Phone:
Fax:
PO#:
   * Indicates required field.
ORDER DETAILS
  Description Ref# Quantity of Boxes  
  ClearVu 2.7 Sharp CV27-S (10 per box)
  ClearVu 2.7 Blunt CV27-B (10 per box)  
  TwoVu ST-5 TVST-5 (5 per box)  
  TwoVu ST-6 TVST-6 (5 per box)  
  TwoVu ST-6L TVST-6L (5 per box)  
  EntreVu EX, 8.25 mm ID
EVEX-8-7T (5 per box)  
  ExtravaStopper, 6 cm WL
ESTOP-6 (10 per box)  
  Reusable Cannulated Obturator
CO EVEX-8-7 (1 per box)  
  Reusable TwoVu Dilator
TVDR-8 (1 per box)  
  DryVu Fluid Shield DVST (15 per box)  
   
SHIPPING METHOD
Select preferred
shipping method:
 
  Call for shipping rate information for your region. Our standard shipping carrier is Federal
Express. California residents will be charged applicable state sales tax.
SPECIAL INSTRUCTIONS OR COMMENTS