Table of Contents
phone:
1-800-328-8908
| fax:
1-800-369-9207
| online:
www.cresthealthcare.com| 2015 |
F35
Carts & Storage
225-235General Purpose
& Housekeeping Carts
226-227Wire Carts & Shelves
227-229Linen Carts
230-231Hampers
232Emergency & Med Carts
233-235Security &
236-264Maintenance
Anti Wandering Devices
237-240Exit Signs & Fire Alarms
241-244Electrical Supplies
245-250Signage & Wall Guards
251-264Bed Locators
264Policies & Warranties
265Index
266-268Repairs
269Curtain Order Form
270Sign Order Form
271Order Form
272Biomed &
201-224Respiratory
Scales
202-204Thermometers
205Pulse Ox
206Stethoscopes & Sphygs
207-214Oxygen Supplies
217-220Glove Box Holders
& Hygiene Stations
222-223Sharps Containers
224Visit Crest online for 24-hour ordering, technical resources,
videos, white papers and our virtual online catalog.
www.cresthealthcare.com272
phone:
1-800-328-8908
|fax:
1-800-369-9207
|online:
www.cresthealthcare.com|2015 |
F35
CrestHealthcareSupply
®
OrderForm
CIRCLEPAYMENTMETHOD:
CHECKWITHORDER
PLEASESEND INVOICE
(subject to creditapproval)
C.O.D
(U.S.FUNDSONLY)
CREDITCARD:
DISCOVER, MASTERCARD, VISA, AMERICANEXPRESS
CIRCLESHIPPINGMETHOD:
GROUND
1-Day
2-Day
3-Day
OTHER
l.
**Not required ifyourTaxExemptCertificate ison fileatCrest.
***Shipping chargesarepre-paidbyCrestandadded toyour invoice. Ifpayment is
"checkwithorder," callour toll-freenumber for shipping charges.
Note:
Customer is responsible foranyadditional taxesor feesassociatedwith
internationalorders.
*
Pricesmay changewithoutnotice.
Sub total
CA,FL,MN residentsaddapplicable
sales tax**
Shipping charges ***
TOTALAMOUNT
QTY.
PARTNO.
COLOR
DESCRIPTION
UNITPRICE
*
TOTAL
(whenapplicable)
OrderByMail:
CrestHealthcareSupply
195ThirdStreetSouth
POBox727
Dassel,MN 55325-0727
OrderByFax:
Fill in theorder form
and fax toour toll-free
Fax:1-800-369-9207,
available24hours.
Orderonline:
www.cresthealthcare.comOrderbyemail:
customerservice@cresthealthcare.comOrderbyphone:
1-800-328-8908
Monday-Friday7:00a.m.until5:00p.m.
(CentralTime)
*Minimumordervalue is$25
Excluding shipping&handling.
*Minimum$25order
FacilityName
____________________________________________________
Customer#
___________________________________________________
Address
_______________________________________________________
City
___________________________
State
__________________________
ZipCode
_______________________________________________________
Name
___________________________________________________________
Dept.
____________________________________________________________
Phone
__________________________
Fax
__________________________
___________________________________________________________
FacilityName
___________________________________________________
Address
________________________________________________________
City
___________________________
State
__________________________
ZipCode
______________________________________________________
Phone
_________________________
Fax
__________________________
C/O
_____________________________________________________________
___________________________________________________________________
__________________________________________________________________
___________________________________________________________________
PromotionCode#_______________________________
PurchaseOrder#________________________________
CreditCard#____________________________________
ExpirationDate__________________________________
CreditCardSecurityCode_________________________
Authorized
Signature_______________________________________
Date_____________MNTaxExempt#______________
BILLING INFORMATION
SHIPPING INFORMATION
FORCRESTUSEONLY:
UPSorFedExAccount#________________________________________________________________________________________
CHECK IFSAMEASBILLING INFO