Request Forms

You can place an order or request more information on any of our products using the forms below. Simply select products within our View Products section and add them to your shopping cart. They will be automatically displayed on this page. You can also fill our the request for information manually below.

Items in "Order" Cart:
Catalogue # Sub-Category Product Description Code ATCC Size Price Qty Delete
You have nothing in your cart. Please add products before submitting.


Items in "Request Information" Cart:
Catalogue # Sub-Category Product Description Code ATCC Size Price Qty Delete
You have nothing in your request for information cart.


Additional Comments If Required


Contact Information Shipping Information
Order/Request from: Same as contact info:
* Co.Name: * Co.Name:
* Co.Address: * Co.Address:
* City: * City:
* Prov/State: * Prov/State:
* Postal/Zip: * Postal/Zip:
* Country: * Country:
* Email: * Email:
* P.O: * P.O:
Contact Name: Contact Name:
* Phone: * Phone:
* Fax: * Fax:
* Date Req'd by: * Date Req'd by:

  

* - Denotes Required Fields

Prices subject to change without notice.

A copy of this order / request will be emailed to you for your records.
A Medox Representative will be contacting your shortly regarding your order / request.




Ordering via phone, Fax or Email

You can contact us directly if you prefer

We will process and deliver your order with reliable and rapid service. Orders can be placed by telephone with our Customer Service department at 1-800-818-8335.

To fax us an order simply send us your Purchase Order or request to 613-271-1148. Our customer service department will gladly confirm your order by return fax.

Prices listed on this website are always in Canadian funds unless otherwise noted. Due to fluctuations in freight, exchanges rates and unforeseen surcharges by our partners some prices may change without notice.

Customers wishing to Email us your order can do so at custservcanada@invmed.com

When ordering, please have the following information in order for us to process and deliver your products as quickly as possible.

Information that you have to include and know for us to get your order right
  1. Your account number

  2. Purchase order number

  3. Product number (item) and description

  4. Quantity of item

  5. Ship to address (if different from billing)

  6. Fax and telephone numbers and contact name so that we can contact you if there is a problem

  7. Any price discounts, which are different from list price to ensure correct billing

Shopping Cart Help

To Add a Product: Simply search for more products using the search form at the top of the page.

To Delete a Product: Click on the icon next to the product you wish to delete.

To Modify the Quantity of a Product: Click on the Catalogue # of the product you wish to modify the quantity for and modify the quantity in the popup window.

To Print this form: Hit the print button on the top of your browser window. Please make you set the printer to print landscape before printing so that everything fits on the page.



© 2010 Inverness Medical Innovations, Inc. All rights reserved.