Transcription of Please Fax Order Form to Fax Number 604-707-2606
1 Gynecological Cytology Supply Order form Please Fax Order form to Fax Number 604-707-2606 Number of Gynecological Cytology Requisition Forms: 100 200 400 Number of Glass Slides: 100 200 400 Number of Spatulas: 100 200 400 Number of Slide Mailing Containers: 100 200 400 Number of Colposcopy Short-Stay Forms: 100 200 400 Please Allow 3 - 4 Weeks for Delivery Date faxed Mail Supplies to Practitioner: Name and MSC # Address Electronic Version available on: Gyne Cytology Supply Order form (July 2009)
