Get Ct Acr Phantom Order Form

Filling out the CT ACR PHANTOM ORDER FORM is an essential step in purchasing the required phantom for accreditation. This guide provides clear instructions to help you complete the form accurately and efficiently.

Follow the steps to successfully complete the order form.

1. Click ‘Get Form’ button to access the CT ACR PHANTOM ORDER FORM and open it in your editor.
2. Fill in the CTAP number, which is required for processing your order.
3. Enter your facility name in the designated field to ensure proper identification.
4. Complete the shipping address section with accurate information including city, state, and zip code to facilitate delivery.
5. If the billing address differs from the shipping address, make sure to fill in that section as well.
6. Provide contact information, including the contact name, telephone number, fax number, and email address, for any queries related to the order.
7. Select the items you wish to purchase by specifying the quantity for each of the products listed, including the CT 464 phantom, stand, carrying case, software, and extension plate kit.
8. Indicate if you are taxable in Wisconsin or Illinois for shipping and handling purposes. If not, provide your tax exemption number.
9. Sign and add your title and date to the form for validation.
10. Specify the amount you are enclosing, including tax and processed fees, if applicable. Ensure you include payment details such as credit card information or indicate that you will send a check.
11. Review all filled fields for accuracy, then save your changes, download the completed form, print it, or share it as necessary.

Complete your order today by filling out the CT ACR PHANTOM ORDER FORM online.