To Place Your Order:
1. Use our website: www.net32.com
2. Fax your order to us at 919-468-1178
3. Call Customer Service at 1-800-517-1997

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Shipping Info
As you place orders you will be able to track their progress using the Quick Status feature.
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Shipping Info
Dollars until free shipping:
Free shipping indicated here according to vendor shipping policies.
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Company Profile - Manufacturers

Your Contact Information:

Company Name:
Person Completing Form:
Job Title:
Address:
 
State:
ZIP Code:
Telephone:
Fax:
Email:
Web Site:
Description of
Product Line:
Approx. number of products carried by your company:
Proprietary products? All Other
Are these products currently offered for sale on your Web site? All Some
Details
Current Sales Channels (Check all that apply):
Distributors
Full Line Vendors
Direct to Physician
How can we view your full product line?
View our Web site at
Catalog is being sent to Med32.
Other        Details

Your Shipping Policy:

Can you process Visa? Yes No
Can you process MasterCard? Yes No
Uniform or standard shipping charges are: $ Other:
Threshold for free shipping is: $ N/A
Do you have products that have additional shipping charges?
For example, heavy items or hazardous materials: Yes No
Other shipping policies: