ATI TEMPS bed Order

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You are here> ATI TEMPS bed Order

Order The TEMPS Bed - (Triage & Emergency Management Preparedness System) bed system -- an easy-to-assemble, knock-down patient gurney/bed that provides a unique solution to triage overflow resulting from a mass casualty incident. Extend your organization's surge bed capacity with this unique emergency bed system.

	To order, please fill out your personal/organizational & shipping information prior to printing. NOTE: Write any other product you'd like to order and its price in the blank lines on the order form below! Then print this order page, complete any remaining sections and fax to 919-832-1412.
	If you want to pay by Purchase Order, please fax your PO. If you need to pay by check, please print this page and mail with your check. Be looking for Online shopping on this web site! Coming Soon!
	This form contains order info only. If you want product info, return to TEMPS Bed Product page.
	Volume Discounts are available. Please request a proposal.
	Product Modifications: We can fabricate any special feature into this product. Please explain your need and request a proposal.
	Warranty: One year limited warranty from date of invoice on materials and workmanship when product is used in a manner consistent with intent. Manufacturers warranty applies on all items not produced by ATI.
	In-Services available.

Who are you and what is your shipping information?

Name
Title
Company or Organization
Billing Address
Shipping Address (If Different than Billing Address)	We'll use your Billing Address, if you leave this field blank.
E-mail
Phone
Fax
Preferred contact method?
How did you find us?	Other:

Credit Card Information (if applicable)

(If purchasing using a Purchase Order, please fax PO. If paying by check, please mail.)

Credit Card Number (We accept Visa, MasterCard & Amex)	Expiration Date:
Credit Card Security Code (On Back of your Credit Card)	NOTE: This security code is not embossed.
Name on Card (if different from above)
Signature:
Any other comments/ questions/special instructions? Also write Purchase Order or Authorization Numbers here!

What do you want to order? Use our blank lines to add in other products!!

Product Description - See ATI TEMPS Bed page for Description	Qty	Unit Price	Total Price
TEMPS Bed, E. R. Surge Overflow Gurney
TB500 System: 5 each TB100 (TEMPS beds with triage I.D. system) AND 1 each TB Cart transport/storage cart with dust cover		$7221.00
TB100 Each: 1 each TEMPS Bed with triage I.D. system		$1405.00
TB Aluminum Cart only: 1 each transport/storage cart with dust cover -- holds 5 TB100's or 5 TB450's		$1405.00

TEMPS Bed, E. R. Surge Overflow Gurney - Bariatric Model
TB100-450 Each: TEMPS Bed, bariatric model with 450lb weight capacity and triage I.D. system		$2275.00
TB450-500 System: 5 each TB450 (bariatric TEMPS beds) and 1 TB Cart transport/storage cart with dust cover		$11600.00
TB Aluminum Cart only: 1 each transport/storage cart with dust cover -- holds 5 TB100's or 5 TB450's		$1405.00
Pediatric TEMPS Bed
PTB500 System: 5 each PTB100 (TEMPS beds with triage I.D. system) AND 1 each PTB Cart transport/storage cart with dust cover		$7221.00
PTB100 Each: 1 each Pediatric TEMPS Bed with triage I.D. system		$1405.00
PTB Aluminum Cart only: 1 each transport/storage cart with dust cover -- holds 5 PTB100's		$1405.00
TEMPS Surge Crib
TC300 System: 3 each TC100 TEMPS Cribs and 1 TC Cart that holds the 3 TC100 TEMPS cribs		$5146.00
TC100 Each: 1 each TEMPS Crib		$1590.00


Optional Items:
TB I.V. Pole - each		$65.00
TB 02 Tank Holder - each		$65.00
TB CPR Board - each		$65.00
TB Patient Chart Holder - each		$65.00
TB Side Rails - each (Swing up side rails for TB100 or TB500 bed)		$324.00
TB Patient Bag - Patient Personal Items Collection Bag - each		$67.00
Isolation Canopy - Snap On - Per Bed		$332.00
Sand & Rough Terrain Chassis for TB100 - Per Bed (2 large fixed & 2small articulating balloon tires)		$782.00
Sand & Rough Terrain Chassis for TB100-450 (bariatric model) - Per Bed (2 large fixed & 2small articulating balloon tires)		$1012.00
Body Substance Isolation Sheet - Per case (3 per pack - 8 packs per case)		$185.00
Disposable Egg Crate Mattress Overlay - each		$47.00
Re-useable Closed Cell Mattress Overlay		$332.00
Additional Patient Support Slings for the TB100 and TTB100 - each Color choice: Blue, Yellow or Red		$1198.00

FREIGHT & Handling - Per Set of 5 Beds - We will contact you with actual freight amount for other quantities or you can contact us.		Per Quote
SUBTOTAL
Sales Tax - NC Residents - Please add 7 % sales tax

TOTAL

Thank you for your order! Please read our policies before submitting your order.
Merchandise Return Policy All returns must be made within 14 days, and must be accompanied by an original Invoice receipt. Merchandise must be in like new condition and/or unopened. Any merchandise bought without packaging must be so noted on the receipt at the original time of purchase. A 25% restocking charge will apply to all returns. Special order hardware is not returnable, except by authorization of IMAGE Management made before the purchase. All special orders must be paid in full before they will be ordered. (Note, this policy does not cover computer software returns -- see a software order page for that policy.)
General Policies: A Return Authorization number is required for any return. Returns that are not preauthorized will not be acknowledged, returned to the sender or refunded. The customer is responsible for shipping & handling costs for original shipment and return. Any costs associated with collections or due to a bounced check or some non-enumerated condition will be charged to the customer.

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