Get Usa Order Form - Solarc Systems

Filling out the USA Order Form for Solarc Systems can be straightforward if you follow the correct steps. This guide will provide clear instructions to ensure that you accurately complete the form to facilitate your order for phototherapy devices.

Follow the steps to successfully complete your order form.

1. Click the ‘Get Form’ button to access the order form and open it in your preferred online document editor.
2. Carefully read the ‘Terms and Conditions of Sale.’ This section outlines important obligations and rights associated with your purchase.
3. Fill in the ‘Patient / Responsible Person Information’ section. Clearly print the required details, including names, address, phone numbers, and email addresses.
4. If your total purchase exceeds US$2500, make sure to provide your Social Security Number in the appropriate section to comply with federal regulations.
5. Select the products you wish to order from the 'Product Description’ section. Indicate the quantity and part number next to each item you are purchasing.
6. Verify the ‘Total Purchase’ amount, ensuring it accurately sums up the costs of the selected items, including any applicable shipping fees.
7. Complete the ‘Credit Card Information’ section. Ensure that you enter the cardholder's name, card number, expiry date, and CVD code. Confirm the total amount to be charged.
8. If required, have your Healthcare Professional fill out the ‘Healthcare Professional Approval’ section, or attach a separate prescription if you are purchasing for shipping within the USA.
9. Review all information entered on the form. Make corrections if necessary to ensure accuracy.
10. Once all fields are completed and verified, save your changes. You may then choose to download, print, or share the completed form with Solarc Systems.

Begin your order process online by completing the USA Order Form - Solarc Systems today.