Products

You have two options for placing your order:

Via PO. Setting up a corporate account with Cannuflow is quick and easy. Simply complete this order form and include your PO number. A Cannuflow sales order representative will call you for the additional information required to set up your account.
By completing this order form and paying for you order with a credit credit card. Your sales order information will automatically be emailed to our sales department and a Cannuflow sales order representative will call you to provide you with the product pricing and for your credit card information.

Should you need any help placing your order, please call us toll-free at 1-866-484-5400.

BUYER'S INFORMATION

*Name:
Title:
*Email:
*Company or hospital name:
Ship-to address (address to which products will be shipped):
*Address:
*City:
*State:	*Zip: -
Billing address (if billing address is different from ship-to address, enter it below):
*Address:
*City:
*State:	*Zip: -
*Phone:
Fax:
PO#:

* Indicates required field.

ORDER DETAILS
	Description	Ref#	Quantity of Boxes
	ClearVu 2.7 Sharp	CV27-S		(10 per box)
	ClearVu 2.7 Blunt	CV27-B		(10 per box)
	TwoVu ST-5	TVST-5		(5 per box)
	TwoVu ST-6	TVST-6		(5 per box)
	TwoVu ST-6L	TVST-6L		(5 per box)
	EntreVu EX, 8.25 mm ID	EVEX-8-7T		(5 per box)
	ExtravaStopper, 6 cm WL	ESTOP-6		(10 per box)
	Reusable Cannulated Obturator	CO EVEX-8-7		(1 per box)
	Reusable TwoVu Dilator	TVDR-8		(1 per box)
	DryVu Fluid Shield	DVST		(15 per box)

SHIPPING METHOD

Select preferred
shipping method:

Call for shipping rate information for your region. Our standard shipping carrier is Federal
Express. California residents will be charged applicable state sales tax.

SPECIAL INSTRUCTIONS OR COMMENTS