Omega Symbol of Excellence
Unconditional GUARANTEE of Satisfaction

Omega Surgical Instruments assures your satisfaction with these quality products. All products are guaranteed for quality of materials and workmanship and to be free from defect or you may return them for a full refund.
 
 
To order a FREE Omega Surgical Instruments 96 page product catalog, please complete the following information and choose submit. Please note that the areas indicated by an *asterisk are required fields and are needed in order to send you the information. Thank you.
 
 
        First Name *
        Middle Initial
        Last Name *
      TITLE         Ms   Miss   Mrs.   Mr.
 
 
This is for a(an) (Please check all that apply.)

            Individual
            Medical Professional
            Distributor
            Other  
 
       Hospital Name
       Your Position

 
Contact Information
 
        Address (line 1) *
        Address (line 2)
        City *
        State/Province *
        Zip/Postal Code *
        Country
        Daytime Phone Number *
        Evening Phone Number
        E-mail Address *

 
Would you like to receive e-mail from us?        Yes   No
(You can remove your name at any time)
 
Would you like to have your
Omega Sales Associate contact you?               Yes   No

 
Additional Comments or Questions?
 
If you would like to send us additional comments or questions, please feel free to do so. Please be as precise with your questions as possible so that we can provide a complete response.
 
     
 
 
        

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Last modified - April 2, 2000
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