Order - Wright Products, Inc.

SLIPP® ORDER FORM

Qty Ordered Size Amount Due $

P.O.#

Facility Name

Shipping Address

City, State, Zip

Contact Person

Dept.

Phone

How did you find out about the Slipp®?

Department Being Purchased for

Billing Address

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Mailed to: Wright Products Inc., 1909 S. Taylorville Road, Decatur, IL 62521
Phoned to: 1-800-356-6911
Faxed to: 1-217-423-7282
E-Mail to: slipp@wrightproductsinc.com
www.wrightproductsinc.com

PRODUCT INFORMATION

Slipp® Patient Mover
72" X 28" Full Size   Product code # 75477
56" X 33" 3/4 Size   Product code # 75477.1

Bariaric Slipp®
76" X 45" Bariatric   Product code # Bari
Volume discounts available on 10 units or more.
All units come with a carrying case, 4 minute DVD instructions, written instructions, and a one year warranty against defects in materials and workmanship.
TERM Net 30 Days
Call 1-800-356-6911 for questions or addtional information.

SLIPP® ORDER FORM

Thank You!

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PRODUCT INFORMATION

DOWNLOAD OUR PRINTABLE INSTRUCTIONS HERE.