|
Gentell Order Form
Phone: 800.840.9041 Fax: 800.840.9054
Order Date: ________________________________________________
Customer: __________________________________________
________________________________________________
________________________________________________
Phone: ______________________ P.O.______________
|
Product
|
GEN Code
|
Case
|
Quantity
|
|
Wound Cleanser 8oz.
|
GEN-10080
|
6/case
|
|
|
Wound Cleanser 16 oz.
|
GEN-10160
|
6/case
|
|
|
Dermatell 4.5" x 4.5"
|
GEN-10400
|
50/cs (10/box)
|
|
|
Derm. Secure 5.5" x 5.5"
|
GEN-10500
|
50/cs (10/box)
|
|
|
Hydrogel 4 oz Tube
|
GEN-11140
|
12/case
|
|
|
Hydrogel Ag 4oz Tube
|
GEN-11240
|
12/case
|
|
|
Hydrogel Spray Gel
|
GEN-11080
|
6/case
|
|
|
Hydrogel 2" x 2" Gauze
|
GEN-11200
|
120/cs (20/bag)
|
|
|
Hydrogel 4" x 4" Gauze
|
GEN-11400
|
40/cs (10/bag)
|
|
|
Hydrogel 4" x 8" Gauze
|
GEN-11700
|
40/cs (10/bag
|
|
|
Hydrogel 8" x 8" Gauze
|
GEN-11800
|
40/cs (10/bag)
|
|
|
Comfortell 4" x 4"
|
GEN-12410
|
100/sleeve
|
|
|
Comfortell 6" x 6"
|
GEN-12600
|
50/cs (10/box)
|
|
|
Comfortell 6" x 6" bulk
|
GEN-12610
|
100/sleeve
|
|
|
Lo Pro Foam 3" x 3"
|
GEN-14300
|
50/cs (10/box)
|
|
|
Lo Pro Foam Plus 6" x 6"
|
GEN-14600
|
50/cs (10/box)
|
|
|
Bordered Gauze 4" x 4"
|
GEN-15410
|
100/sleeve
|
|
|
Bordered Gauze 6" x 6"
|
GEN-15610
|
100/sleeve
|
|
|
Ease Odor Eliminator
|
GEN-21000
|
24/case
|
|
|
Clean Foam Cleanser
|
GEN-22080
|
12/case
|
|
|
Shield & Protect 4 oz
|
GEN-23040
|
12/case
|
|
|
Clean & Shield
|
GEN-24140
|
9/case
|
|
|
Liquid Clean
|
GEN-32080
|
24/case
|
|
|
Shield & Protect AF 4oz
|
GEN-23240
|
12/case
|
|
|
Body Wash 8 oz
|
GEN-51080
|
24/case
|
|
|
Hand Sanitizer 4 oz
|
GEN-41040
|
24/case |
|
|
Hand Sanitizer 8 oz
|
GEN-41080
|
12/case |
|
|
Hand Sanitizer 1000mL
|
GEN-50340
|
12/case |
|
| Calcium Alginate 2 x 2 |
GEN-13200
|
50/case
|
|
|
Calcium Alginate 4 x 4
|
GEN-13500
|
50/case
|
|
|
Calcium Alginate Rope
|
GEN-13120
|
60/case
|
|
Shipping
Instructions: Orders will
be shipped FedEx Ground unless otherwise noted.
|