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New Customers
- U.S. Distributors

Become a domestic distributor of Weaver and Company:

Weaver and Co | Nu prep Skin Prep Gel & Ten 20 Paste

Step 1:

Weaver and Co | Nu prep Skin Prep Gel & Ten 20 Paste

Fill out the online form below

We will put your account details on our system. You can also download a PDF of the form here.

Weaver and Co | Nu prep Skin Prep Gel & Ten 20 Conductive Paste | Online Order Form

Step 2:

Send

Submit your completed form

If downloading a PDF, you can fax the printed version to 303-367-5118 or email to usasales@weaverandcompany.com.

Weaver and Co | Nu prep Skin Prep Gel & Ten 20 Conductive Paste

Step 3:

Weaver and Co | Nu prep Skin Prep Gel & Ten 20 Conductive Paste

We will contact you to confirm details

All new accounts require prepayment before shipping the first order. We accept checks, ACH, and wire transfers only. COD is available for an additional charge.

Weaver and Co | Nu prep Skin Prep Gel & Ten 20 Conductive Paste | Online Order Form

 

Hide online form

Account Information

Company Name

*

Billing Information

Contact Name *
E-mail *
Telephone *
Fax
Billing Address *
Street Address

Apt, Suite, Floor, etc.

City
State
Zip Code

Shipping Information
(Leave Blank if Same as Billing Information)

Contact Name
E-mail
Telephone
Fax
Shipping Address
Street Address

Apt, Suite, Floor, etc.

City
State
Zip Code

Preferred Shipping Carrier

Shipping Account #
Business License Number

Business References

Directions: Please provide as much information as you can for three (3) business references.

Reference #1

Company Name
Address

Account Number
Contact Name
Telephone
Fax
E-mail

Reference #2

Company Name
Address

Account Number
Contact Name
Telephone
Fax
E-mail

Reference #3

Company Name
Address

Account Number
Contact Name
Telephone
Fax
E-mail

 

Submit

Additional payment information:

  • Payment terms are NET 30.

Additional shipping information:

  • We can only ship product to authorized distributors, hospitals, or other medical organizations.
  • Shipping charges will be prepaid and added to your invoice unless your company has a UPS, Fed Ex or other account to which shipping charges can be applied.
  • Unless otherwise requested, orders will ship via ground delivery.
  • Shipments to PO boxes and drop shipments can not be completed.

We ship via FedEx and UPS:

Weaver and Co | Nu prep Skin Prep Gel & Ten 20 Conductive Paste | FedEx Shipping
FedEx service marks used by permission.
Weaver and Co | Nu prep Skin Prep Gel & Ten 20 Conductive Paste | UPS Shipping
UPS, the UPS brandmark and the color brown are trademarks that are used with permission by the owner, United Parcel Service of America, Inc. All rights reserved.