PURCHASE ORDER #:
NAME OF FACILITY ORDERING:
NAME OF PERSON ORDERING:
PHONE:
FAX:
EMAIL:
SHIP TO:
NAME OF FACILITY ORDERING:
STREET:
CITY:
STATE:
ZIP:
WOUNDSTICK MEASURING SYSTEM ORDER:
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SHIPPING: ______________ (TO BE FILLED OUT BY USMS,
INC REPRESENTATIVE)
TOTAL PRICE: $__________ (TO BE FILLED OUT BY USMS, INC REPRESENTATIVE)
Products will be shipped via Priority Mail or UPS. Freight charge will
be added.
USMS will bill "on account". Please provide
billing address if different from above shipping address.
NAME:
STREET:
CITY:
STATE:
ZIP:
We accept VISA, MASTERCARD: (circle credit card type
used)
NAME OF CARDHOLDER:
CARD NUMBER:
EXPIRATION DATE ON CARD:
SIGNATURE:_____________________________________________________________
USMS billing information: Process Date: _______________
Approval #: _________________
USMS
The WoundStick Measuring System
PO Box 2518
Jupiter, FL 33468-2518
PHONE: 1-800-636-8787 FAX: 1-800-637-7502
Web: www.woundstick.com
March 2012
Thank you for your recent purchase of our accurate WoundStick
Measuring System products. We appreciate the opportunity to serve you
and look forward to working with you again.
We have recently changed our Payment Address and our EIN
number:
USMS
PO Box 2518
Jupiter, FL 33468-2518
Tax ID 45-4488834
Please edit your records. Thank you.
If you need a W-9, please fax or email us.
By the way, we have some new products
* WoundStick Ruler *Derma Map 8cm * Photo
Facts WSRulers 8cm and 4cm (ADHESIVE)
We would be happy to send your Director of Nursing some
free samples. If they are interested, please email us at
info@woundstick.com with your address, phone & contact information.
Satisfied customers are our best advertisement, so we encourage
you to give us feedback on how we’re doing by emailing or calling
us. Of course, if you have any additional questions or require assistance,
please let us know. Thank you and have a nice day.
Sincerely,
Christine Howe
Customer Service