Surgical Instrument - Integra LifeSciences

Mail or fax this completed coupon along with copy of dealer
invoice dated between October 1 to December 31, 2010 to: Attn:
Coupon Redemption, Miltex, Inc., 589 Davies Drive, York, PA 17402
(fax: 800-229-6589).
Customer Service: 866-854-8300
www.miltex.com
Miltex, Miltex Redefining Excellence and EZ-Zyme are registered trademarks of Miltex, Inc., a subsidiary of Integra LifeSciences Corporation.
CryoSolutions and Sharp-It are trademarks of Miltex, Inc., a subsidiary of Integra LifeSciences Corporation.
The Integra wave logo is a trademark of Integra LifeSciences Corporation.
Copyright © 2010 Integra LifeSciences Corporation
LIST YOUR redeemed GOODS
Qty Item #
Please send Miltex ® Products to:
Name of Person Ordering
Practice Name
Address
City/State/Zip
Phone
Dealer/Branch
Dealer Representative
Offer valid 10/01/10 - 12/31/10 in the USA only from end-users and does not apply to government, institutional or dealer stocking orders. Promotion void if copy
of invoice is not attached with promotion coupon. Offers cannot be combined unless invoice totals meet promotion criteria. Coupon must be submitted
within 30 days of expiration date of offer. Please allow up to 8 weeks for goods to be delivered. The dollar value of the product, and any other discounts or reductions
in price pursuant to this offer and any other items and services not paid for by Customer and received by Customer from Miltex under this promotion are “discounts
and other reductions in price” under Section 1128B(b)(3)(A) of the Social Security Act (42 U.S.C. §1320-a-7b(b)(3)(A)), as it may be amended. It is the intent of the
parties to comply with the Anti-Kickback Law Discount Safe Harbor (42 C.F.R. §1001.952(h) as it may be amended). Customer understands and agrees that it must
properly disclose the discounts or reductions in price and reflect such discounts or reductions in price in the costs claimed or charges made under any federal or
state health care program which provides cost or charge based reimbursement to Customer for the items covered under this offer.
* Redeemed goods must be of equal or lesser value of lowest priced purchased item.
* Redemption invoices subject to verification by Miltex.
* Buy/get promotion applies only to Miltex ® products advertised in this quarterly flyer unless otherwise noted.
0810/60/A/1 SURGQ410 MPM0575