Customer Center Order Form

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Customer Order Form

Existing customers may complete the following information to order any Somanetics product. Brand new customers must obtain a quote before this order form can be used.
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Important Note:

For Adult and Pediatric SomaSensor^®, quantity is number of boxes; 20 sensors in each box, 1 box minimum quantity.
For Infant/Neonatal OxyAlert^TM NIRSensor, quantity is number of boxes; 10 sensors in each box, 1 box minimum quantity.
INVOS^®Cerebral/Somatic Oximeter System - Model 5100C components are for two-channel monitoring.
For four-channel monitoring, Preamplifier with Cable - Model 5100C-PB and two Reusable Sensor Cables (RSC-3 and RSC-4) should also be ordered.

Order Form:

QUANTITY	ITEM NUMBER	PRODUCT / DESCRIPTION
	#5100C-USA	INVOS 5100C Cerebral/Somatic Oximeter System System includes: Cerebral/Somatic Oximeter, Model 5100C Preamplifier with Cable, Channel 1 & 2, Model 5100-PA Reusable Sensor Cable, Channel 1, Model RSC-1 Reusable Sensor Cable, Channel 2, Model RSC-2 USB Flash Drive, Model 5100C-USB Power Cord Operations Manual Quick Reference Guide 1 Year Warranty System components are for two-channel monitoring. For four-channel monitoring, Preamp 5100-PB and Reusable Sensor Cables RSC-3 and RSC-4 would need to be ordered additionally.
	SAFB-SM	Adult SomaSensor: Disposable Adult (>40 kg) SomaSensor (sold in boxes of 20)
	SPFB	Pediatric SomaSensor: Disposable Pediatric (<40 kg) SomaSensor (sold in boxes of 20)
	IS-C	OxyAlert NIRSensor: Infant/Neonatal-Cerebral (<40kg) (sold in boxes of 10)
	IS-S	OxyAlert NIRSensor: Infant/Neonatal-Somatic (<40kg) (sold in boxes of 10)
Accessories and Replacement Parts
	5100C-PA	Preamp with Cable, Channel 1 & 2 Preamplifier with Cables (15-foot)
	5100C-PB	Preamp with Cable, Channel 3 & 4 Preamplifier with Cables (15-foot)
	RSC-1	Reusable Sensor Cable, Channel 1 (Blue) Reusable Sensor Cables (5-foot)
	RSC-2	Reusable Sensor Cable, Channel 2 (Taupe) Reusable Sensor Cables (5-foot)
	RSC-3	Reusable Sensor Cable, Channel 3 (Orange) Reusable Sensor Cables (5-foot)
	RSC-4	Reusable Sensor Cable, Channel 4 (Green) Reusable Sensor Cables (5-foot)
	5100C-USB	USB Flash Drive (minimum 256 MB)
	VLI	VueLink Adapter Cable
	4100-FTD	Field Test Device
	5100C-RS	Portable Roll Stand
	5100C-SA	Swivel Arm Mounting System
	Warranty	1 Year Extension Warranty for INVOS System

Please select your payment method:
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For credit card orders, a customer service representative will contact you. For purchase orders, include your information in the 'Special Instructions.'
Special Instructions:

A Customer Service Representative will contact you within one business day to confirm your order and provide complete pricing, shipping and handling totals.

After confirmation and purchase order approval, products will be shipped by standard carrier immediately based on inventory availability.
Customers located outside of the U.S. may have their Order Form forwarded to the representative for their country. A confirmation of forwarding will be provided if necessary.
If you have questions, please contact Customer Service at (248) 689-3050, ext. 2200, or (800) 359-7662 x 2200.

TERMS: Credit card payment or net 30 days from date of invoice with approved purchase order. Payable in U.S. Funds. A service charge of 1.5% per month (or the maximum legal rate, whichever is less) will be added to past due accounts. Prices exclude sales tax or duty where applicable. All sales are final. No returns without prior written authorization. Prices are F.O.B. factory Troy, MI, however Somanetics retains a security interest in the products, along with the proceeds from the sale thereof, until Buyer has made full payment for such products. The customer is responsible for proper operation of the product(s). In no event shall Somanetics be liable for any special incidental or consequential damages, which result from the use or application, by buyer, or any other party, of the products, and in no event shall Somanetics' liability exceed the amounts paid by buyer for the products hereunder. No other warranty is expressed or implied including the Warranty of Merchantability. Warranty details, including the Disclaimer of Consequential Damages, are set forth in the INVOSSystem Operations Manual and are also available upon request. Purchaser agrees to pay attorney's fees and other costs incurred for collection. All prices and specifications are subject to change without notice. By ordering and accepting delivery of the software, hardware or documentation referenced in this purchase agreement, the Customer agrees to be bound by the terms of Somanetics' Warranty Agreement for these products. No terms of the Warranty Agreement may be modified or deleted without the signed agreement of an Officer of Somanetics. These terms constitute the entire agreement between Somanetics and Buyer with respect to goods purchased from Somanetics. Conditions or representations, oral or written, express or implied, with reference to the subject matter herein that are inconsistent with these terms shall be of no effect unless specifically agreed to in writing by Somanetics. All matters affecting the interpretation, validity and performance of this contract shall be decided under the applicable laws and decisions of the state of Michigan.

By submitting this order you are agreeing to these terms.