HemoBand — Place an Order

Order Online

To place your order online, please complete the required information below. Or, fax your official company purchase order or HemoBand Order Form to 503-617-1823. You'll receive a confirmation of your order.

For Health Care Providers Only

Samples of the HemoBand will only be sent to recognized health care providers.

1. Select Product(s) and Quantity(ies)

HemoBand (standard)—Sterile (ref HB-1M) 12 sterile HemoBands per bag	HemoBand (standard)—Non-Sterile (ref HB-NS) 24 non-sterile HemoBands per bag
HemoBandXL (extra long)—Non-Sterile (ref HB-NSXL) 24 non-sterile HemoBandXLs per bag

2. Enter Your Billing Information:

Company*

Name*

Title

Address*

Address2

City*

State/Province*

Postal Code*

Country*

Email*

Telephone*

Fax*

Purchase Order

*Required fields

3. Enter Your Shipping Information:

Click if same as above

Company*

Contact Name*

Contact Title

Address*

Address2

City*

State/Province*

Postal Code*

Country*

Shipping Method (Shipping charges will be added to invoice)

If you selected "Bill My FedEx or UPS Account", please call with account number.

*Required fields

Please print a copy of your order before submitting.

Terms: Net 30. FOB Portland, OR 97229. POs required on all hospital orders. Fax orders to 503-617-1823.