Services

Customer Profile Form

Please fill out the Customer Profile Form below and return it to us with your first order. A Customer Service Representative will contact you shortly thereafter with your account number and your order confirmation. International customers contact your local distributor.

Billing:

Account Name:*
Address 1:*
Address 2:
City:*
State:*
ZIP:*
Country:

Shipping:

Same Shipping Information as Billing Information:
Account Name:
Address 1:
Address 2:
City:
State:
Zip:

Accounts Payable Contact:

First Name:*
Last Name:*
Phone:*
Fax:
Email:*

Purchasing Contact:

First Name:*
Last Name:*
Phone:*
Fax:
Email:*

Nurse Manager:

First Name:
Last Name:
Department:
Phone:
Fax:
Email:
Hobbs extends immediate credit to new customers. Hobbs payment terms are NET 30 days. We also accept American Express, MasterCard, Visa and Discover. A $25.00 return check charge applies to all returned checks.
Would you like your invoices sent to you electronically in PDF format?
If yes, please provide your email address:
Shipments are FOB Stafford Springs.  Hobbs Medical uses UPS as our primary shipper.  Your order will ship UPS ground unless clearly stated otherwise on your purchase order.  We do not accept blanket shipping requests.
If you elect to have us ship and bill your order UPS third party, each purchase order must clearly state your request and an account number must be provided.  
A handling charge will be applied to each order regardless of how it is shipped.  Most standard inventory products are shipped within one business day.

Tax Exemption:

Tax Exempt? (CT and AZ customers only):
If "Yes," please upload tax exempt certificate.: