Surgical Sharpening/Repair Order Form
| Instrument | Price | Qty | Instrument | Price | Qty |
| Scissors | $6.00 | Ophthalmic Knives&Blades | $10.00 | ||
| Serrated Scissors | $8.00 | Sharpen Laparoscopic Inst. | $15.00 | ||
| Suture Scissors | $8.00 | Reinsulate Lap. Instrument | $25.00 | ||
| Micro Scissors | $12.00 | Lap. & Arthro. Punches | $15.00 | ||
| Align Forceps: dressing/tissue | $7.00 | Align Needle Holders | $8.00 | ||
| Align Forceps: Nasal, Sinus, Ear | $15.00 | Retip Needle Holders | $35.00 | ||
| Align Forceps: tonsil, adenoid, biopsy | $15.00 | Osteotomes | $8.00 | ||
| Align Forceps: Dressing/Tissue | $7.00 | Dermal Punches | $8.00 | ||
| Align Forceps: Hemostatic | $7.00 | Nasal & Adenoid Punches | $15.00 | ||
| Micro Forceps Alignment | $15.00 | Rasps | $8.00 | ||
| Trocars | $8.00 | Acetabular Reamers | $30.00 | ||
| Burrs | $5.00 | Reamers | $5.00 | ||
| Chisels | $8.00 | Retractors | $8.00 | ||
| Curettes: bone, chalazion, buck | $10.00 | Rongeurs | $18.00 | ||
| Curettes: Ring & Surgical | $10.00 | Saw Blades (oscillating) | $5.00 | ||
| Curettes: Adenoid | $10.00 | Nasal Saws | $8.00 | ||
| Cutters: Bone | $15.00 | Spatulas (smooth) | $8.00 | ||
| Nail Cutters (joints are also adjusted) | $15.00 | Carpal Tunnel Tomes | $7.00 | ||
| 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 | $10.00 | ||
| Elevators (surgical) | $8.00 | Orthodontic Cutters (lig & distal) | $15.00 | ||
| Gouges | $8.00 | High Speed Handpiece Repair | $59.99 | ||
| Hooks & Picks | $7.00 | ||||
| Knives: surgical | $10.00 | *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). | |||||
| Dr/Co/Name: | Contact: P.O. # | ||||
| Address: | |||||
| City: | State/Zip | ||||
| Phone: | Fax: | ||||
| Retip as needed o Do not retip o | 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
