1656 N 15th Ave Tucson AZ 85705 Toll Free Fax 1 866 211 3009 Direct P

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1656 N 15th Ave Tucson AZ 85705 Toll Free Fax 1 866 211 3009 Direct P Powered By Docstoc
					                                                                  1656 N 15th Ave, Tucson, AZ 85705
                                               Toll Free Fax: 1- 866-211-3009              Direct Phone: 520-622-1894




Please fax this order form to the number listed above. Form must be filled out completely and signed. Orders may take 1 day to 5 days to ship based on product availability. No
returns are accepted due to health and perishable issues.
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Address:                                                                                                          2ndDay Delivery                      International
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 Item Number Cosmetic Theraphy Devices                                                                                                    Price           Quantity         Total
     CDT 01              CARBOSSI - EVOLUTION Carbon Dioxide Therapy System & Advanced Training                                      $
      CDT                FOOT PEDAL SWITCH - For Carbossi, ITY (1 Yr. Warranty)                                                      $         139.00
    CDT RG               REGULATOR GAUGE SET - C02 Gas                                                                               $         150.00
     CDT ITL             10 PK INFUSION TUBES - w/ 0.2um Filters Extension Line (Made in Italy)                                      $          90.00
     CDT USA             INFUSION TUBES - 1 each No Filters (Made in USA)                                                            $           2.00
     CDT 13              SMALL INFUSION FILTERS -1/Patient (Made in USA)                                                             $           4.00
     CDT 50              1 LARGE 50 FILTER - Acro 50 PTFE                                                                            $          29.00
     CDT K               KEY WRENCH - For C02 Gas Cylinder                                                                           $           5.00
     CDT C               CYLINDER STAND - For C02 Gas Cylinder                                                                       $          49.00
   REGENESIS             Q45TS PROFESSIONAL PLATFORM - Includes Arm with 3,840 L.E.D.                                                $      16,900.00
     MC001               PORTA-PEEL MICRODERMABRATOR SYSTEM                                                                          $       4,300.00
      MC002              MICRODERMABRATOR DIAMOND TIPS                                                                               $         750.00
      MC C               MICRODERMABRATOR AUXILARY CELLULITE - Smooth Kit                                                            $         800.00
      MC H               MICRODERMABRATOR AUXILARY HYDRO KIT - Per Kit                                                               $         450.00
                         Dermal Fillers
           F01           REVANESSE - Purest Crosslinked Hyaluronic Acid Gel - 1cc Syringe                                            $          139.00
           F02           REVANESSE PURE - Pure Hyaluronic Acid 1cc Syringe                 New Item Special Offer                    $          150.00
           F03           REVANESSE ULTRA - Purest Crosslinked Hyaluronic Acid Gel - 1cc Syringe                                      $          169.00
           F04           REVANESSE LIPS - Cross Linked Hyaluronic Acid 25mg/ml - 1cc Syringe     New Item                            $          150.00
           F05           REDEXIS - Cross Linked Hyaluronic Acid Gel w/ Dextranssomere, Sephadex - 1cc Syringe                        $          225.00
           F06           REDEXIS ULTRA - Cross Linked Hyaluronic Acid Gel w/ Dextranssomere, Sephadex - 1cc Syringe                  $          250.00
           F07           ANTI WRINKLE SERUM - LINURASE 30ml 1 FL. OZ. Non Toxic, Relaxes Muscles Special Offer                       $           70.00
           F08           VITAMIN C-erum 30ml 1 FL. OZ. - Dermal Repair Serum                                                         $           75.00
                         Aptos Threads and Diamond Wire
      THR4C              APTOS CLEAR THREADS - Pack of 4 Threads                                                                     $          149.00
      THR6C              APTOS CLEAR THREADS - Pack of 6 Threads                                                                     $          220.00
       SHLT              SILHOULETTE LIFT 2 x 25 cm W/Cones                            New Item Special Offer                        $          236.00
     THR-STS             SOFT TENSOR SHORT                                                                                           $          115.00
     THR-STL             SOFT TENSOR LONG                                                                                            $          130.00
       DW01              DIAMOND WIRE - Wire Scalpel Single Needle                                                                   $           75.00
       DW02              DIAMOND WIRE - Wire Scalpel (Graivier) Double Needle                                                        $           90.00
      AN001              APTOS AUTOCLAVABLE NEEDLES - Pkg of 5 (1 Straight, 3 Curved, 1 Punch)                                       $          450.00
                         Meso Therapy Supplies
          MGUN           PROGRAMABLE POWER INJECTION AUTO MESO GUN                                                                   $
         M1:090          ALPHA LIPOIC ACID 2.5% pH 9 - 10ml                                                                          $           25.00
         M1:101          ARGIRELINE 1% pH 7.0 CSP - 10ml                                               *Not In Stock*                $           29.00
         M1:012          ARTICHOKE 2% - 5ml x 10                                                                                     $           20.00
      M1:092           ASIAN CENTELLA 5.0% pH 7 - 10ml                                                                                             $             18.00
      M1:017           BIOTINE (Vitamin B) - 2ml x 10                                                                                              $             29.00
      M1:016           BUFLOMEDIL 25 mg - 5ml x 10                                                                                                 $             29.00
      M1:067           CAFFEINE 20% - 2ml x 10                                                                                                     $             30.00
       M: 107          CHROME GLYCEROL 40mg 1% - 5ml x 10                                                                                          $             29.00
      M1:022           DEX PANTHENOL 20% - 5ml x 10                                                                                                $             25.00
      M1:088           DMAE 5% pH 7.0 - 10ml                                                                                                       $             35.00
      M1:007           GINKGO BILOBA 2ml x 10                                                                                                      $             19.00
      M1:027           GLYCOLIC ACID 1% pH 5.5 - 2ml x 10                                                                                          $             45.00
      M1:094           HYALURONIC ACID 1.4% pH 6.5 - 10ml                                                             *Not In Stock*               $             50.00
      M1:028           HYALURONIC ACID 3.5% - 10ml                                                                                                 $           150.00
      M1:077           HYALURONIDASE 100 U pH 7.0 - 10ml                                                              *Not In Stock*               $             40.00
       M: 075          HYALURONIDASE 1500 U Powder - 10ml                                                                                          $             40.00
      M1:030           L-CARNITINE 1g - 5ml x 10                                                                                                   $             50.00
      M1:059           LAURETH-9 (Polidocanol) 2% - 2ml x 10                                                New Item Special Offer                 $             20.00
      M1:063           MINOXIDIL 0.5% pH 6.5 - 2ml x 10                                                                                            $             60.00
      M1:069           MINOXIDIL 0.5% pH 6.5 - 10ml                                                                                                $             21.00
      M1:040           MELILOTUS RUTIN EXTRACT - 2ml x 10                                                                                          $             25.00
      M1:105           ORGANIC SILICA (Conjoctyl) 0.5% - 5ml x 10                                                                                  $             21.00
      M1:108           OLIGO ELEMENTS (Selenium, Copper and Zinc) - 5ml x 10                                                                       $             25.00
      M1:035           PHOSPHATIDYLCHOLINE 6% - 5ml x 10                                           Pure Form! No odor or stinging!                 $             90.00
      M1:080           PHOSPHATIDYLCHOLINE 5% Ph 7.0 -10ml                                                            *Not In Stock*               $             30.00
      M1:036           SODIUM PYRUVATE 1% - 2ml x 10                                                                                               $             50.00
      M1:038           PROCAINE 2% - 50ml Vial                                                                                                     $             45.00
      M1:083           PROCAINE HCL 2% - 5ml x 10                                                                                                  $             45.00
      M1:055           RETINOIC ACID 1% pH 5.0 - 1ml x 10                                                                                          $             45.00
      M1:051           VITAMIN C 20% pH 5.8 - 5ml X 10                                                                                             $             25.00
      M1:056           X-ADENAL - 2ml X 10                                                                                                         $             99.00
      M1:112           X-DNA 3% Highly Polymerized Gel - 2.5ml                                                                                     $             29.00
      M1:004           YOHIMBINE 0.2% - 5ml x 10                                                                                                   $             22.00
                       Meso Cocktails
      MC:001           LYPOLESS WEIGHT LOSS KIT - 5ml x 10 Vials                                                  New Item Special Offer           $           130.00
      MC:004           ANTI HAIR LOSS KIT - 5ml x 10 Vials                                                        New Item Special Offer           $           130.00
      MC:006           SKIN FACIAL REJUVENATION KIT - 5ml x 10 Vials                                            New Item Special Offer             $           130.00
                       Supplies
         BC            BETACAINE ® Enhanced Gel - Contents Lidocaine 5% Tube 30g                                                                   $             39.00
      DLASH            DABALASH - Eyelash Enhancer                                                                          *For Export Only* $                129.00
        S 50           SALINE 0.9% - Sodium Chloride 4 x 50ml                                                                                      $             10.00
        S 250          SALINE 0.9% - Sodium Chloride 250ml                                                                                         $              3.00
        S1000          SALINE 0.9% - Sodium Chloride 1000ml                                                                                        $              5.00
         SU            MICROCYN 240ml - Sterile Solution & Antiseptic                                                                              $             30.00
         SU            MICROCYN 5 Lt - Sterile Solution & Antiseptic                                                 Special Offer                 $             99.00
         N 4           30G / 0.30 x 4mm - Carbossi & Meso Needle Box of 100                                                                        $             40.00
         N 6           30G / 0.30 x 6mm - Mesotherapy Needle Box of 100                                                                            $             40.00
         N 18          18G x 1" DRAW NEEDLES - Box of 100                                                                                          $             15.00
         N 27          27G X 1.5" NEEDLES - Mesotherapy Infiltration Needle Box of 100                                                             $             29.00
         N 30          30G X 1/2" x 13mm - BD Mesotherapy Needle Box of 100                                                                        $             39.00
         N 31          31G x 1/2" NEEDLES - Box of 100                                                                                             $             39.00
         N 32          32G x 1/2" NEEDLES - Box of 100                                                                                             $             44.00
         S 1           1cc SYRINGE(S) - Single Use                                                                     Call for box discount       $              1.00
         S 3           3cc SYRINGE(S) - Single use                                                                     Call for box discount       $              1.00
         S 5           5cc SYRINGE(S) - Single use                                                                     Call for box discount       $              1.00
         S 10          10cc SYRINGE(S) - Single Use                                                                    Call for box discount       $              1.00
                       Vitamins and Supplements
         V-S           NATURAL WEIGHT LOSS TABLETS - 60 tablets Bottle                        Call for box discount                                $            69.00
        SHP            FedEx - Shipping & Handling; Varies Depending on Size, Weight, & Zip Code                                                   $            69.00
         DIS           DISCOUNT - NuTec International Sales Promotion Discount                                                                     $
                                                                                                                                                                Grand Total          $
Products are sterile, suitable for topical use and/or intra dermal injection and sold to medical professionals only. Products are intended as weight loss or inch loss supplements and/or nutritional
supplements. Clinician understands these products are not regulated by the FDA. Physician assumes all risks and liabilities when using these products. Training on use of these products can be arranged
with independent professional trainers. Please call if you are interested in recommendations.
Prices subject to change.
I agree to purchase these items, have my credit card charged for the amount of the products plus shipping. I have read the terms and agreement page of NuTec International including the return policy.
I understand and agree with the policies.
X__________________________________


Our return policy can be located at www.NuTecInt.com


www.nutecint.com                                                  sales@nutecint.com

				
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