Get Device Demo Agreement

The DEVICE DEMO AGREEMENT is a vital document for evaluating surgical positioning devices. This guide will walk you through the steps necessary to complete the agreement online, ensuring that you provide all required information accurately and efficiently.

Follow the steps to complete the DEVICE DEMO AGREEMENT.

1. Press the ‘Get Form’ button to obtain the DEVICE DEMO AGREEMENT and open it in the editor.
2. In the first section, labeled SHIP TO, provide the hospital name, attention to a specific individual if applicable, and the complete address including city, state, and zip code. Include the contact person's name, phone number, email, and fax number.
3. Specify the date by which the device needs to arrive. It is advisable to select a date that is one day before the scheduled surgery. If you have a FedEx or UPS account for billing, check the appropriate box and write down your account number.
4. In the BILL TO section, enter the accounts payable details, including address, city, state, and zip code. Include a contact person in accounts payable along with their phone number, email, and fax number.
5. In the PURCHASE ORDER NUMBER section, input your PO number. This number is crucial for tracking the device demo sets and any associated shipping charges or fees. Ensure that you print your name and title clearly. Confirm that you are an authorized agent who has read and agrees to the terms stated in the agreement.
6. In the SIGNATURE section, provide your signature and date.
7. Lastly, submit the completed form by either faxing it to 530-229-9457 or emailing it to service@sunmedica.com. If you choose to fax, it is recommended to call 1-800-995-8715 to confirm that SunMedica has received your document.

Complete your DEVICE DEMO AGREEMENT online today for an efficient evaluation process.