Ship To Information                                                                Billing Information (if different from Contact)

Ordering Information

Gel Warmers

(click on the type/s/ and quantity of printer you would like to purchase)

Gel Warmer                                                                                                           Quantity     

  None Parker Thermosonic 1-bottle Gel Warmer 82-01 Parker Thermasonic 3-Bottle Gel Warmer 82-04 Ideal Gel Warmer GW-108A Ideal Gel Warmer GW-208A Ideal Gel Warmer GW-308A Parker 5-L AQUASONIC Gel w/ dispenser 01-50 Parker 0.25L dispenser bottle 01-08 Parker Sterile Full Pouches 01-01 Parker AQUAFLEX Ultrasound Gel Pads (2x9cm) 04-02 Parker AQUAFLEX Stand-Off Pads 04-02 Parker AQUASONIC Clear Gel 12 cnt 03-08 Parker AQUASONIC Clear Gel 5L SONIPAC 03-50 Parker SCAN Gel 1 Gal 11-28 Parker SCAN Ultrasound Gel 11-28S Parker SCAN Gel 12 cnt 8oz bottles 11-08 Parker POLYSONIC Gel 12 cnt 8.5oz bottle 21-08 Parker POLYSONIC Gel 1 GAL 21-28 Parker POLYSONIC Gel POLYPAC 21-50 Parker AQUAGEL Lubricant 130g tube 57-13 Parker AQUAGEL Lubricant 2L Dispenser 57-20 OTHER-SONIC 250ml Container 39-1111-25 OTHER-SONIC 5L Container 36-1111-05 Parker AQUASONIC 60g Doppler                           1 2 3 4 5 6 7 8 9 10 20 0    

Enter competitor's lower price and place where it can be validated in box below.  (NOTE:  IF NOTHING IS ENTERED, PRICE OFF OF SCIENTIFIC DIGITAL IMAGING WEB PAGE WILL BE USED)

Gel Warmer                                                                                                           Quantity     

  None Parker Thermasonic 3-Bottle 82-04 Ideal Gel Warmer GW-108A Ideal Gel Warmer GW-208A Ideal Gel Warmer GW-308A Parker 5-L AQUASONIC Gel w/ dispenser 01-50 Parker AQUASONIC 12 cnt 0.25L bottle 01-08 Parker Sterile Full Pouches 01-01 Parker AQUAFLEX Ultrasound Gel Pads (2x9cm) 04-02 Parker AQUAFLEX Stand-Off Pads 04-02 Parker AQUASONIC Clear Gel 12 cnt 03-08 Parker AQUASONIC Clear Gel 5L SONIPAC 03-50 Parker SCAN Gel 1 Gal 11-28 Parker SCAN Ultrasound Gel 11-28S Parker SCAN Gel 12 cnt 8oz bottles 11-08 Parker POLYSONIC Gel 12 cnt 8.5oz bottle 21-08 Parker POLYSONIC Gel 1 GAL 21-28 Parker POLYSONIC Gel POLYPAC 21-50 Parker AQUAGEL Lubricant 130g tube 57-13 Parker AQUAGEL Lubricant 2L Dispenser 57-20 OTHER-SONIC 250ml Container 39-1111-25 OTHER-SONIC 5L Container 36-1111-05                          1 2 3 4 5 6 7 8 9 10 20 0    

Enter competitor's lower price and place where it can be validated in box below.  (NOTE:  IF NOTHING IS ENTERED, PRICE OFF OF SCIENTIFIC DIGITAL IMAGING WEB PAGE WILL BE USED)

Payment Information

Purchase Order Number   

OR

Name exactly as it appears on credit card   

Address to which credit card bill is sent       

Zip Code to which credit card bill is sent     

Credit Card Type            VISA MasterCard American Express None Selected

Credit Card Number      

Expiration Date:   Month None Selected 01 02 03 04 05 06 07 08 09 10 11 12     Year None Selected 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020

Shipping & Handling

Type of Shipping & Handling Requested        

  Ground (2-5 Business Days depending on your location)

  3-Day

  2-Day

  Standard Next Day (by 3:30pm)

  Priority Next Day (by 10:30am)

(If None Selected, order will go by "Ground")

(NOTE:  Shipping/Handling charges are billed as the cost charged by shipper.  Charges are dependent upon number of boxes and type of paper purchased.)

Comments/Other Information Requested

(NOTE:  After clicking submit, we recommend printing off the next page for your records.)  If you do not receive e-mail confirmation within 2 hours, please call 1-800-239-5657.