How to Place Orders:
1. Fill out all required fields information in customer information section. All orders must have Purchase Order # in order to be processed.
2. Select the item number from the SYB Product list. Note quantity, description, size, and/or age requirements of tissue, if any.
3. Specify the exact date and time when product is to arrive at ship to address.
4. All orders are usually shipped for next day delivery. Shipping and handling fees will be billed along with your invoice.
5. Ordered must be received before 3:00 pm Eastern Standard Time. Orders received after 3:00 pm Eastern Standard Time cannot be guaranteed same day processing.
6. Expedited processing service is available for an additional $50 on orders that come in after 3:00 pm Eastern Standard Time.
7. Email or fax this order form to orders@synergybiologics.net
8. Phone orders may be placed by calling Customer Service at 850-328-0340 ext. 102.
9. All returns are subject to a 25% restocking fee and must be pre-approved by our Director of Quality with a return authorization (RA#).
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-- State --
AA
AE
AK
AL
AP
AR
AS
AZ
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MH
MI
MN
MO
MP
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
PW
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WV
WI
WY
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Order Information
Shipping terms
1st AM
Priority
Standard
SHIPMENT ARRIVE BY DATE
Hydrated Grafts
Dry Grafts
Ocular Disc
Hydrated Gafts
DIMENSIONS
PRODUCT CODE
DESCRIPTION
QUANTITY
DISCOUNT
1.2 cm (12 mm)
ORSG-12MM
surgiGRAFT™ - Hydrated Graft
N/A
CTS
1.5 cm (15 mm)
ORSG-15MM
surgiGRAFT™ - Hydrated Graft
N/A
CTS
1.8 cm (18 mm)
ORSG-18MM
surgiGRAFT™ - Hydrated Graft
N/A
CTS
2 x 2 cm
ORSG-202
surgiGRAFT™ - Hydrated Graft
N/A
CTS
2 x 3 cm
ORSG-203
surgiGRAFT™ - Hydrated Graft
N/A
CTS
2 x 4 cm
ORSG-204
surgiGRAFT™ - Hydrated Graft
N/A
CTS
2 x 8 cm
ORSG-208
surgiGRAFT™ - Hydrated Graft
N/A
CTS
4 x 4 cm
ORSG-404
surgiGRAFT™ - Hydrated Graft
N/A
CTS
4 x 8 cm
ORSG-408
surgiGRAFT™ - Hydrated Graft
N/A
CTS
3 x 16 cm
ORSG-316
surgiGRAFT™ - Hydrated Graft
N/A
CTS
8 x 10 cm
ORSG-810
surgiGRAFT™ - Hydrated Graft
N/A
CTS
8 x 20 cm
ORSG-820
surgiGRAFT™ - Hydrated Graft
N/A
CTS
10 x 16 cm
ORSG-1016
surgiGRAFT™ - Hydrated Graft
N/A
CTS
Dry Grafts
DIMENSIONS
PRODUCT CODE
DESCRIPTION
QUANTITY
DISCOUNT
1.2 cm (12 mm)
ORSGD-12MM
surgiGRAFT™ - Dry Graft
N/A
CTS
1.5 cm (15 mm)
ORSGD-15MM
surgiGRAFT™ - Dry Graft
N/A
CTS
1.8 cm (18 mm)
ORSGD-18MM
surgiGRAFT™ - Dry Graft
N/A
CTS
2 x 2 cm
ORSGD-202
surgiGRAFT™ - Dry Graft
N/A
CTS
2 x 3 cm
ORSGD-203
surgiGRAFT™ - Dry Graft
N/A
CTS
2 x 4 cm
ORSGD-204
surgiGRAFT™ - Dry Graft
N/A
CTS
2 x 8 cm
ORSGD-208
surgiGRAFT™ - Dry Graft
N/A
CTS
4 x 4 cm
ORSGD-404
surgiGRAFT™ - Dry Graft
N/A
CTS
4 x 8 cm
ORSGD-408
surgiGRAFT™ - Dry Graft
N/A
CTS
3 x 16 cm
ORSGD-316
surgiGRAFT™ - Dry Graft
N/A
CTS
8 x 10 cm
ORSGD-810
surgiGRAFT™ - Dry Graft
N/A
CTS
8 x 20 cm
ORSGD-820
surgiGRAFT™ - Dry Graft
N/A
CTS
10 x 16 cm
ORSGD-1016
surgiGRAFT™ - Dry Graft
N/A
CTS
Ocular Disc
DIMENSIONS
PRODUCT CODE
DESCRIPTION
QUANTITY
DISCOUNT
0.9 cm (9 mm)
ORSG-DSC9
surgiGRAFT™ - Disc (Ocular)
N/A
CTS
1.2 cm (12 mm)
ORSG-DSC12
surgiGRAFT™ - Disc (Ocular)
N/A
CTS
1.5 cm (15 mm)
ORSG-DSC15
surgiGRAFT™ - Disc (Ocular)
N/A
CTS
1.8 cm (18 mm)
ORSG-DSC18
surgiGRAFT™ - Disc (Ocular)
N/A
CTS
Nano
DIMENSIONS
PRODUCT CODE
DESCRIPTION
QUANTITY
DISCOUNT
12.5mg/0.5cc
ORSG-INJ05
surgiGRAFT™ - Nano MicroGraft
N/A
CTS
25mg
ORSG-INJ1
surgiGRAFT™ - Nano MicroGraft
N/A
CTS
25mg/3.0cc
ORSG-INJ3
surgiGRAFT™ - Nano MicroGraft
N/A
CTS
25mg
ORSGP - 02ML
surgiGRAFT™ - Nano Dry MicroGraft
N/A
CTS
1/each
Atomizer Kit
Atomizer Convenience Kit
$25 Each
Umbilical
DIMENSIONS
PRODUCT CODE
DESCRIPTION
QUANTITY
DISCOUNT
1.5 x 1.5 cm
SC - 1.5
surgiCORD™ - Umbilical Cord
N/A
CTS
3 x 2 cm
SC - 302
surgiCORD™ - Umbilical Cord
N/A
CTS
3 x 4 cm
SC - 304
surgiCORD™ - Umbilical Cord
N/A
CTS
3 x 6 cm
SC - 306
surgiCORD™ - Umbilical Cord
N/A
CTS