Surgical Sharpening/Repair Order Form

effective 3/1/2007

Instrument Price Qty Instrument Price Qty
Scissors $5.50   Ophthalmic Knives&Blades $8.00  
Serrated Scissors $7.50   Sharpen Laparoscopic Inst. $15.00  
Suture Scissors $7.50   Reinsulate Lap. Instrument $25.00  
Micro Scissors $11.00   Lap. & Arthro. Punches $15.00  
Align Forceps: dressing/tissue $6.00   Align Needle Holders $7.00  
Align Forceps: Nasal, Sinus, Ear $15.00   Retip Needle Holders $30.00  
Align Forceps: tonsil, adenoid, biopsy $15.00   Osteotomes $7.00  
Align Forceps: Dressing/Tissue $7.00   Dermal Punches $6.00  
Align Forceps: Hemostatic $7.00   Nasal & Adenoid Punches $15.00  
Micro Forceps Alignment $15.00   Rasps $8.00  
Trocars $5.00   Acetabular Reamers $30.00  
Burrs $5.00   Reamers $5.00  
Chisels $5.00   Retractors $6.00  
Curettes: bone, chalazion, buck $6.00   Rongeurs $15.00  
Curettes: Ring & Surgical $6.00   Saw Blades (oscillating) $5.00  
Curettes: Adenoid $10.00   Nasal Saws $8.00  
Cutters: Bone $15.00   Spatulas (smooth) $5.00  
Nail Cutters (joints are also adjusted) $15.00   Carpal Tunnel Tomes $5.00  
Spring Replacement $15.00   Trephines $8.00  
Sharpen Cutters: Pin&Plate $15.00   Dental Scalers, Curettes, Explorers* $1.25  
Retipping pin plate cutters $85.00   Dental Chisels, Hatchets, Trimmers* $1.25  
Drills (twist) $5.00   Orthodontic Pliers & Removers $8.00  
Elevators (surgical) $5.00   Orthodontic Cutters (lig & distal) $14.00  
Gouges $5.00   High Speed Handpiece Repair $59.99  
Hooks & Picks $6.00        
Knives: surgical $8.00   *note:  price per end    
Keep instruments in sterilization bags for proof of sterilization.  Some repairs may require parts which have additional charges.   Package safely and ship using a reliable carrier with insurance.  Include bus. card, contact name/phone number.  All orders returned UPS Ground, unless otherwise specified (1-4 days depending on location).  Prepayment not required for service orders (net 30 days).  Payment can be made via check, money order, cc (Visa, MC, Discover, American Express & Paypal).
Dr/Co/Name:   Contact:  
Address:        
City:     State/Zip    
Phone:     Fax:  
Date Needed Back by:     UPS Groundo  UPS 2nd Dayo  UPS Next Dayo  

Ship to:  The Sharpening Company

3702 W. Sample St., Suite 1105, South Bend, IN 46619

Toll Free: 877-4(TSharp) (487-4277)  Tel: 574-232-9348  Fax: 574-288-9363

Medical Sharpening