Order Request
After you fill out this order request, we will contact you to go over details and confirm the order before it is completed. If you have questions please contact us directly at: 231-409-4401 or april.surgical@gmail.com.
Are you a new or existing customer? *
What is the item you would like to order? *
Please select one product:
Product options *
Please enter the number of boxes you'd like to order:
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Contact info
Your name *
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Your Phone number *
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Your E-mail
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Billing Address *
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Shipping Address *
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Preferred contact method *
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Questions and comments
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