Order Form

If you are an existing B&H Surgical client and you wish to place an order. Please indicate your requirements into the form below. Please ensure you enter your full contact details into the form so that your order can be processed without delay.

Product Quotation - For a quotation on any of our products indicate which products you are interested in ordering.

Product Code	Qty Req'd

Name

Company Name

Telephone

Email Address

Delivery Address

B&H Surgical Instrument Makers
Unit C2/UP Southway, Bounds Green industrial Estate, Bounds Green Road, London, N11 2UL

Tel: (+44) 20 8368 1616 Fax: (+44) 20 8368 0243 Email: office@bhsi.co.uk