Complete ENTIRE FORM below. We will contact you with a quote and an estimated turnaround time. To expedite service, pre-authorize your repairs up to a specified dollar amount. For assistance, please contact us at (412)281-4186 or via email: Repair@surgicalproductsolutions.com. We are unable to initiate a repair without a Purchase Order number. If a return shipping account number is not provided on this form, the cost of shipping will be added to your final invoice. Payment is NET 30 unless otherwise specified.