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                      ADDITIONAL INFORMATION Carrier Account Number: METHOD OF SHIPPING YY: MM Expiration: Card Number: Name as it appears on card: METHOD OF PAYMENT
Country: Country: ZIP/Postal Code: ZIP/Postal Code:
State/Province: State/Province: City: City: Address: Address: Attention: Company Name: Company Name: Attention:                                      
RPI Part # Quantity YOUR ORDER YOUR INFORMATION SHIP TO ADDRESS

RPI Secure Online Order Form

Order Terms & Information - Help with this Form - Company Holiday Schedule

Customer Service Hours - Method of Shipment - Minimum Order - U.S. & Canada - International - US Military

IMPORTANT NOTICE
RPI does not sell directly to doctor's, dentist's, and veterinary offices or tattoo shops. However, we will be happy to refer you to a service company in your area.

E-mail Address: Fax Number: Telephone Number: Order Placed By: Name of Organization: Purchase Order Number: Customer Account #: BILL TO ADDRESS RPI can ship your order via DHL, Fed Ex, UPS and USPS (United States Postal Service). Please select your preferred shipping method from the pull-down menu below. If another shipping method is preferred, please input your request as "Other" in the pull-down menu.  

Order Terms and Information

  • Customer service hours are Mon-Fri 8:00 AM - 4:30 PM. After hours you may use this form, email your order, or fax your order.
  • Orders received before 2:00 p.m. (Pacific Time) will be shipped the same day. Orders received after business hours are shipped the following business day. Please note our Company Holiday Schedule for this year.
  • You choose the method of shipment. Orders can be shipped via any of the following services: next day, second day, third day, Saturday delivery, or regular ground delivery. International shipments are our specialty.
  • Minimum order is $20.00.
  • United States and Canadian Customers: Terms are net 30 days for approved Open Accounts. VISA and MasterCard are accepted. New customers are required to complete a Credit Application and return the original copy to RPI (click here for a copy of the Credit Application).
  • International customers (except Canada): Payment in full is requested in U.S. dollars prior to shipping. Payment may be made by VISA and MasterCard, or by a check drawn on a U.S. bank, international money order, or bank wire transfer. (Wire transfers are subject to a bank fee.)
  • U.S. Military customers: VISA, MasterCard, and Blanket Purchase Agreement (BPA) #SPO20096A9274S are accepted.
  • Our terms are net 30 days for approved Open Accounts. VISA, MasterCard, and American Express are accepted. Shipping and handling is prepaid and added to the invoice. Past due invoices are subject to a late charge of 1-1/2% per month. Shipments are F.O.B. RPI Plant, Simi Valley, California. Returned checks are subject to a $20.00 charge. No allowances for shortages, overcharge or damage unless reported within 10 days from the invoice date.
  • Please see our ABOUT RPI page for additional information.

Filling Out This Form

To move from field to field, or to make a selection, use your mouse. Some browsers also support the TAB key for moving from field to field. If you inadvertently hit ENTER and Send the form before it is complete, use your browser's BACK key to return to the form, and then finish filling it out and then Send it again.

When you are ready to submit the order use your mouse to press the Submit Order button at the bottom of the page--after a few moments a THANK YOU page should be displayed. If this does not occur then your order has not been properly processed.

    Card Billing Zip Code:   Security Code: When you are ready to submit the order use your mouse to press the Submit Order button --after a few moments a THANK YOU page should be displayed. If this does not occur then your order has not been properly processed. CLICK TO SUBMIT --> YOUR ORDER                                               Download Credit Application

 

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Since 1972 the leader in quality replacement parts for hospital, medical, dental, and laboratory equipment.
Replacement Parts Industries, Inc. • 625 Cochran Street • Simi Valley, California 93065 • (800) 221-9723
Copyright © 1996-2018 Replacement Parts Industries, Inc. All Rights Reserved.