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, CT. Your order will ship UPS Ground unless clearly stated otherwise on your purchase order. At your request, we can also ship UPS Overnight, UPS 2-Day, and UPS 3-Day Select.
Orders can ship by another freight carrier such as FEDEX or USPS. If you elect to use another carrier other than UPS, please indicate carrier's name below and provide your account number.
All orders are shipped freight collect, otherwise a handling charge will be added to your invoice.  Most standard inventory products are shipped within one business day.
Preferred Freight Carrier:
Account Number:

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