Sign-up to receive your Utah Medical Sales Order Acceptances by e-mail and/or fax. Simply complete and submit the form below.

You will receive your sales orders in a more convenient and timely manner, and by selecting the e-mail option you will be able to keep backup copies of your documents in Microsoft Word format.

Yes, I wish to sign-up for Utah Medical Product's electronic sales order acceptances.

Select one or both of the following options

Send my sales order acceptances via e-mail.
(enter up to two e-mail addresses)

Send my sales order acceptances via fax.
(enter your fax number including area code)

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Organization/Facility Name *

Utah Medical Customer Number(s) *

Phone Number (include area code) *

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