FRONTIER MEDICAL A DIVISION OF PHARMACO (NZ) LTD ORDER FORM NURSING PACKS - 2015 Name: ……………………………………………………………………………………………………………………………………………………………… Delivery Address: ………..…………………………………………………………………….................................................................................... ………..………………………………………………………………………………………................................................................. Institution Attending: ………………………………….......................................……………………………………………………………………………………… Phone No: ………..…………………………................................. Cell Phone No. Email Address: ………………………………………………………………….. Date Order Placed:……….………………………………………………. Part No. Training Pack Description Adult Dual Tube Sphygmomanometer, Disposable Pupil Torch, Pair of Dressing Scissors, an Adtemp II Digital Thermometer, an Adscope Stethoscope of your choice as listed below, all contained in a reusable Ecobag FM-NKIT1 Nurse Training Pack (as above) with Sprague Rappaport Stethoscope and Name Tag. Colour Choice: Lavender, Royal Blue, Light Blue, Black, Red, Teal, Purple & Boysenberry. (Please choose a 1st & 2nd choice) FM-NKIT2 Nurse Training Pack (as above) with Adscope Lite Stethoscope and Name Tag. Colour Choice: Lavender, Royal Blue, Black, Red, Teal, Purple & Turquoise. (Please choose a 1st & 2nd choice) FM-NKIT3 Nurse Training Pack (as above) with Adscope Stainless Steel Stethoscope with Name Tag. Colour Choice: Lavender, Royal Blue, Black, Red, Teal, Purple, Turquoise & Metallic Raspberry. (Please choose a 1st & 2nd choice) Pocket Pal II Organiser (empty). White nylon (washable) pocket FRAD-216 organiser designed to fit into Scrub’s jacket pocket. Ideal for carrying scissors, pupil torch, pen in a single holder. Olympic Swiss Stainless Steel Nurses Watch with Date FROL-78005 Olympic Swiss Gold Nurses Watch with Date FROL-83005 Nurses Watch with Bar and Date FRVB-08010 Nurses Watch, with Bar and Date FRVB-08029 Nurses Watch with Pink or Blue Butterfly FRVB-08032 FRVB-N08003FM Nurses Watch with 5 Interchangeable Silicone Coloured Covers in Black Bag Freight TOTAL PRICE All of these products and more can be viewed on our website at www.frontmed.co.nz :…………………………………………………………. Qty Unit Price Total Price 105.00 115.00 145.00 11.50 95.00 95.00 43.00 30.00 25.00 25.00 10.00 ALL PRICES INCLUDE GST AND ARE FREIGHT FREE FOR ORDERS OVER $100.00. IF THE ORDER IS FOR LESS THAN $100.00 THE FREIGHT COST IS $10.00. Orders can be placed by: Free Phone: Fax: Email: (0508) 414-564 (09) 307-1307 info@frontiermedical.co.nz Payment can be made by direct credit, visa, mastercard, debit card or cheque. If payment is being made in person then we can also accept cash. Please note goods will not be dispatched until payment in full has been received. Prices are subject to change without notice. Frontier Medical a Division of Pharmaco (NZ) Ltd P O Box 4079 AUCKLAND 1140 4 Fisher Crescent Mt Wellington AUCKLAND 1060 ==================================================================================================================== Visa/Mastercard No: ................./………..….../…………..…/………...….. Name on Card: …………………………………………………………………. Expiry:…………………………………………………………………………… FRONTIER MEDICAL A DIVISION OF PHARMACO (NZ) LTD ORDER FORM NURSING PACK INDIVIDUAL ITEMS - 2015 Name: ……………………………………………………………………………………………………………………………………………………………… Delivery Address: ………..…………………………………………………………………….................................................................................... ………..………………………………………………………………………………………................................................................. Institution Attending: ………………………………….......................................……………………………………………………………………………………… Phone No: ………..…………………………................................. Cell Phone No Email Address: ………………………………………………………………….. Date Order Placed:……….……………………………………………… Part No. FRAD-216 FRAD-3404SB FRAD-351P1 FRAD-352 FRAD-352WP FRAD-4055 FRAD-418 FRAD-416100 FRAD-603 FRAD-609 FRAD-641 FRAD-698 FRAD-775-11AN FRAD-845-12XN-2 FROL-78005 FROL-83005 FRVB-08010 FRVB-08029 FRVB-08032 FRVB-N08003FM Description Pocket Pal II Sharp/Blunt Nursing Scissors Disposable Pupil Torch Metalite Reusable Penlight Pupil Torch Metalite Reusable Penlight Pupil Torch with Pupil Gauge, White Key Ring Face Shield Adtemp V Digital Thermometer Digital Thermometer Probe Covers - pkt 100 Adscope 603 Stainless Steel Stethoscope Adscope 609 Lite Stethoscope Adscope 641 Sprague Rappaport Stethoscope Stethoscope ID Tag Adult Dual Tube Sphygmomanometer Large Adult Cuff for Sphygmomanometer above Olympic Swiss Nurses Watch - Stainless Steel Olympic Swiss Nurses Watch - Gold Plated Nurses Watch with Date and Bar - Large Nurses Watch with Date and Bar - Standard Nurses Watch - Pink or Blue Butterfly Nurses Watch with 5 Silicone Interchangeable Coloured Covers in a Black Bag Freight TOTAL PRICE :………………………………………………………… Qty Unit Price 11.50 4.00 3.50 8.50 10.00 6.50 18.00 8.50 95.00 46.00 36.00 2.00 46.00 45.00 95.00 95.00 45.00 30.00 25.00 Total Price 25.00 10.00 All of these products and more can be viewed on our website at www.frontmed.co.nz ALL PRICES INCLUDE GST AND ARE FREIGHT FREE FOR ORDERS OVER $100.00. IF THE ORDER IS FOR LESS THAN $100.00 THE FREIGHT COST IS $10.00. Orders can be placed by: Free Phone: (0508) 414-564 Fax: (09) 307-1307 Email: info@frontiermedical.co.nz Payment can be made by direct credit, visa, master-card, debit card or cheque. If payment is being made in person then we can also accept cash. Please note goods will not be dispatched until payment in full has been received. Prices are subject to change without notice. Frontier Medical a Division of Pharmaco (NZ) Ltd P O Box 4079 Mt Wellington AUCKLAND 1140 4 Fisher Crescent Mt Wellington AUCKLAND 1060 =================================================================================================== Visa/Mastercard No: ................./………..….../…………..…/………...….. Name on Card: …………………………………………………………………. Expiry:……………………………………………………………………………