PURCHASE ORDER FORM-MEDICAL

This form is intended for use by customers to make official purchases and to provide information required by Openhouse Products.

Invoice Address

Is the delivery address the same as invoice

Delivery Address (If different from Invoice Address)

Item Code:

Description:

Quantity:

NB - We use a dedicated and MHRA approved courier to ship all medical items.

Please note that due to licensing requirements, we will need a signed and dated statement from the licensed practitioner confirming how they are associated with the company requesting the medical items before we can proceed with your order.

*Please ensure that all required fields are completed correctly.