PTS Carriers
Material Order Form - North America


Customer Number:        

Facility/Hospital Name:
Contact Name:               
Phone Number:             
Fax Number:                  
Email Address:             


Shipping Address:

    Attention:              
    Street Address:    
                                  
    City:                          State:    Zip: 
 


Billing Address (if different than shipping):

    Attention:            
    Street Address: 
                                
    City:                        State:    Zip:
 

Delivery Date Requirement: 
Shipping Method:                   
Purchase Order #:                 
 

Parts List
4-inch Carriers/Materials
Quantity      Part Number    Description                                               Unit Price                                                     
    75171005               4-inch Universal Carrier                                    $80.00                
    75171009               4-inch Universal Frosted Carrier                        $95.00                       
    75171007               4-inch 1/2 Black Carrier                                   $93.60      
    75171008               4-inch Black Carrier                                         $93.60               
    76129301               4-inch Cleanout Bottle                                     $29.50
    76127803               4-inch Thin Liner Set (set of 5)                         $20.80                                           
    76127801               4-inch Full Liner Set (set of 5)                          $41.60                                            
    76113702               4-inch Wear Band Replacement Kit                  $95.68
                                                    (repairs 25 carriers)        
    76139402               4-inch Wear Band Replacement Kit                  $81.85
                                                    (repairs 10 carriers)                                    
   76131902               Small Biohazard Pouches w/Insert                    $36.40
                                                    (set of 5)                       
   76131904               Small Biohazard Pouches w/o Inserts               $33.28
                                                    (set of 5)     
   76132901               Inserts (set of 5)                                              $6.24               
   76136201               Small Clean Pouch (1 each)                             $6.76
 

6-inch Carriers/Materials
Quantity      Part Number    Description                                                 Unit Price  
    75508111               6-inch Universal Carriers w/Durabands               $135.00*                
    75508112               6-inch Universal 1/2 Black Carrier                      $145.00                      
    75508113               6-inch Universal Black Carrier                            $145.00      
    75508114               6-inch Universal Frosted Carrier                         $150.00*         
    75508115               6-inch Universal RFID Carrier                            $148.00*
    75508116               6-inch Universal 1/2 Black RFID Carrier             $165.00                                          
    75508117               6-inch Universal Black RFID Carrier                   $165.00                                            
    75508118               6-inch Universal Frosted RFID Carrier                $165.00      
    76138902               6-inch Universal Latch Replacement Kit             $98.00
                                                    (repairs 10 carriers)
    76121901               6-inch Carpet Wear Band Kit                            $66.56
                                                    (repairs 10 carriers)                
    91074801               Adhesive for Carpet Wear Bands (1 qt)              $30.16                      
    91153201               Band Clamps                                                  $15.08
                                                    (to install carpet wear bands)      
    75510101               6-inch Eco-Seal Clear Carrier                           $165.00*         
    75510103               6-inch Eco-Seal 1/2 Black Carrier                     $165.00
    75510102               6-inch Eco-Seal Clear RFID Carrier                   $178.00*                                          
    75510105               6-inch Eco-Seal Frosted Carrier                        $180.00                                            
    75510104               6-inch Eco-Seal 1/2 Black RFID Carrier             $180.00
    75510106               6-inch Eco-Seal Frosted RFID Carrier                $180.00                
    76141103               Green DuraBand Repl Kit for Eco-Seal              $145.60
                                                    (repairs 10 carriers)                      
    76150501               Blue DuraBand Repl Kit for Eco-Seal                $145.60
                                                    (repairs 10 carriers)   
    76146202               6-inch Eco-Seal Latch Repl Kit for                     $60.60
                                                   Eco-Seal (repairs 5 carriers)                                            
    76146301               O-Ring Replacement Kit (Green Durabands)       $36.40
                                                    (contains 5 o-rings)         
    76150401               O-Ring Replacement Kit (Blue Durabands)         $36.40
                                                    (contains 5 o-rings)         
    94140501               Biohazard Carrier Label Set                              $17.10
                                                    (minimum order qty of 5)
    76146102               Latch Installation Tool                                       $25.00                                          
    76127904               6-inch Thin Liners (set of 5)                               $23.40                                            
    76127901               6-inch Full Liners (set of 5)                                $46.80
    76129302               6-inch Cleanout Bottle                                      $39.50               
    76131901               Large Biohazard Pouches w/Inserts                   $40.56
                                                    (set of 5)                      
    76131903               Large Biohazard Pouches w/o Inserts                $34.32
                                                    (set of 5)      
    76132901               Inserts (set of 5)                                              $6.24         
    76136101               Large Clean Pouch (1 each)                             $7.07

*Quantity discounts are available.
 

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