POS Order Form - DOC

“My incisions are smaller, operative times less, and fears of skinflora contamination are completely gone as this is essentially a no-touch technique.”

— Scott A. Martin, MD Las Cruces, NM

USE DRAINS?
Provide your patients with the

Rx for Drain Management! Patients can easily manage them
in comfort with
The MARSUPIAL POUCH.

Ask about our wholesale program.

Order Form Keller Funnel™ Point-of-Sale Materials
Contact Information

Practice Name:		*
Doctor Name		*
Phone:		*
Email:		*
Shipping Information
Address:		*
City:		*
State:		*
Zip:		*

Select the items you would like to order from the list below:
Patient Education Brochures
		Package of 25 Package of 50 Package of 75 Package of 100
Keller Funnel™ Point-of-Sale Signage 8.5" wide x 11" high cardboard sign with easel back for countertop display

		2 Signs 4 Signs 6 Signs
Reconstruction Education Brochures
		Package of 25 Package of 50 Package of 75 Package of 100
The Marsupial Pouch - Brochures
		Package of 25 Package of 50 Package of 75 Package of 100

The Marsupial Pouch - Brochure Holder
Easel back placard with pocket. Holds 25 brochures. 2 Holders 4 Holders 6 Holders

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