MBM Sale Items Order Page
School Nurse
To Order Sale Items:
  • Print out form to your printer.
  • Fill out all appropriate information.
  • Fax or mail form to the nearest location listed at the bottom of this form.

Not ready to place your order?
Simply click on your browser's BACK button, or the icon below, to continue
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CODE DESCRIPTION QTY. PRICE TOTAL
ST1000SP OPTEC 1000 Vision Tester W/perimeter   895.00  
ST2500 OPTEC 2000 Vision Tester Remote Control   1395.00  
MA08NEC COMP-AIR NEBULIZER   78.95  
OXY01 LIFE OXYGENPAC   329.95  
GRF3007 NARCOTIC SAFE TRIPLE BOLT LOCK   120.95  
2200 NURSE'S STATION FIRST AID KIT   159.95  
CR111371 SOFT SIDED TRAVEL KIT BLACK   90.00  
CR111385 SOFT SIDED TRAVEL KIT RED   90.00  
CR111375 SOFT SIDED TRAVEL KIT BLUE   90.00  
BF2659 COVERLET INDUSTRIAL PACK 1" X 3" 7200/BX   149.95  
BF2660 COVERLET INDUSTRIAL PACK 3/4" X 3" 8100/BX   145.95  
DEP24 DETECTO STEP ON CAN 6 GALLON   60.00  
DEP32 DETECTO STEP ON CAN 8 GALLON   65.00  
DEP80 DETECTO STEP ON CAN 20 GALLON   90.00  
DYNOMITE DYN-O-MITE SOFTWARE RECORD KEEPING   395.00  
DYNOLOG DYN-O-LOG SOFTWARE RECORD KEEPING   255.00  
Sub Total:  
Tax + 10% Freight  
Service Charge $5.00  
TOTAL:  


Please fill out the appropriate information:
First Name:  
Last Name:  
Organization:  
Address:  
   
City:  
State/Zip Code:  
Business Phone:  
Fax:  
   
   
Payment method: (circle one)
Check Money Order Master Card Visa AMEX
Credit Card #:  
Expiration Date:  
   
Customer No.:  


Shipping Information (if different from billing address)
First Name:  
Last Name:  
Company Name:  
Address:  
   
City:  
State/Zip Code:  
Business Phone:  
Fax:  


Now simply fax or mail your completed order form
to the nearest location listed below:

NEW YORK
846 Pelham Pkwy.
Pelham Manor, NY 10803
1-800-431-2743
NY Residents: 914-738-8400
Fax: 914-738-8999
FLORIDA
8930 Western Way, Suite 5
Jacksonville, FL 32256
1-800-343-9883
FL Residents: 904-3631396
Fax: 904-363-1496
CALIFORNIA
211 Harbor Way
S. San Francisco, CA 94080
1-800-241-6555
CA Residents: 415-589-6037
Fax: 415-489-8012
THE MIDWEST
5720 West 79th St.
Indianapolis, IN 46268
1-800-713-8388
IN Residents: 317-872-7670
Fax: 317-872-7680
THE SOUTHWEST
502 Business Parkway
Richardson, TX 75081
1-800-730-2666
Fax: 972-496-4641
Call here from Oklahoma and Texas



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