Redemption Form [PDF] - SurgiVet

END-USE CUSTOMER REDEMPTION FORM
Redemption form and
proof of purchase must
be received by
October 31, 2010
Information
Specialty:
Fax:
Mail:
Veterinarian Name (first & last) OR Name of Facility:
To obtain incentives:
Complete this form, print and fax or mail with proof of purchase
OR
Save this form to your computer, complete and e-mail with proof of
purchase
800-621-2590 or 614-734-0254
Smiths Medical
5200 Upper Metro Place
Dublin, OH 43017
e-mail: patient.monitoring@smiths-medical.com
Customer Service: 800-258-5361 (US Only) or 214-618-0218
Contact Name (first & last):
Title:
Business Address:
Suite #
City: State Zip
Business Phone:
( ) Business Fax ( )
e-mail Address:
Distributor Name & Branch:
Distributor Sales Respresentative Name (first & last):
Smiths Medical Promotional Offers
Select the Redemption Promotion below and include Proof of Purchase:
Advisor® Roll Stand (catalog #3387): Purchase a V9203 or V9204 SurgiVet® Advisor® Vital
Signs Monitor with Data Logger and receive a SurgiVet® Advisor® monitor roll stand at No Charge.
(5) HOTLINE® Fluid Warming Sets (catalog #32491B9) - Purchase five (5) HOTLINE ® Fluid
Warming Sets and receive five (5) additional sets at No Charge.
Minimum order of 5; orders must be placed in multiples of 5.
WW8111 Box of 25 Capnocheck® Capnometer Airway Adapters with every Capnocheck®
Capnometer purchased.
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SurgiVet® Universal CDS 9000 Series Anesthesia Machine Special Offer
Purchase CDS 9000 anesthesia machine and receive the following at no additional cost:
• WWV7318 Enviro-Pure® Filter Starter Kit ( Enviro-Pure® charcoal canister, bracket and waste gas tubing )
• AirCare PVC Endotracheal Tube Starter Kit.
• V7149 SurgiVet® Anesthesia Mask Set – set of 5 masks to accommodate a variety of species.
SurgiVet® Equator® Convective Warming System Special Offer
WWVSW2002 Pediatric Full Body Blankets
Receive one Carton of 10 Pediatric Full Body Blankets (size: 40" x 57.5") with the purchase of
the SurgiVet® Equator® Convective Warming System.
Vet BioSISt® wound management products: Buy any 3 Vet BioSISt® products, and receive
1 additional Vet BioSISt® product of equal or lesser value at no charge. Four of a kind, or
mix-and-match product.
Please check the item requested for the 4th item at no charge:
Catalog # Description
Catalog #
Description
VB0710
VB0704S2
VB07104L
70 x 100 mm single sheet VB10D4 10 mm Ocular Discs
2 - 40 x 70 mm sheets - twin pack VB15D4 15 mm Ocular Discs
70 x 100 mm multi laminate sheet
Signature:
Date:
Information on this form may be used for future promotional
material from Smiths Medical.
You can opt-out of receiving promotional material from Smiths
Medical at any time by calling 800-258-5361,
214-618-0218 or mailing to Smiths Medical, 5200 Upper Metro
Place, Dublin, OH 43017.
Acceptable proof of purchase includes a
distributor invoice showing qualifying catalog
number(s) with a purchase date(s) between
July 1, 2010 through September 30, 2010.
Please allow up to six (6) weeks for fulfillment of
incentives. May not be used with any other offers or
promotions. Forms received at Smiths Medical after
October 31, 2010 will not be eligible for incentives - no
exceptions. Offer only valid on products purchased
through an authorized SurgiVet ® Distributor during the
promotional period.
Valid for US Customers only.
Advisor, Hotline, Capnocheck, Enviro-Pure, Equator, AirCare and the SurgiVet and Smiths Medical design marks are
trademarks of the Smiths Medical family of companies. The symbol ® indicates the trademark is registered in the U.S.
Patent and Trademark Office and certain other countries. All other names and marks mentioned are the trade names,
trademarks or service marks of their respective owners.
© 2010 Smiths Medical family of companies. All rights reserved. vet cust redemption form Q3 2010
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