On-Line Ordering Form

To request a price quote, please click here.

Use this on-line form to place an order using a purchase order (PO). If you are placing an order using a credit card (US and Canada only), please call ALZET Customer Service at 877-922-5938, or download and fill out the ALZET fax order form.

If ordering from outside of the US or Canada, please download our international ordering instructions, or contact customer service for further information.

Once you submit your order, a customer service representative will contact you by the next business day to confirm your order and pricing information.

Products:
Osmotic Pumps
100 µl Pumps
 
Order#
Quantity (pumps)  
Model 1003D (1 µl/hr, 3 days)
0000289
Model 1007D (0.5 µl/hr, 7 days)
0000290
Model 1002 (0.25 µl/hr, 2 weeks)
0004317
Model 1004 (0.11 µl/hr, 4 weeks)
0009922
200 µl Pumps
Model 2001D (8.0 µl/hr, 1 day)
0000294
Model 2001 (1.0 µl/hr, 1 week)
0000292
Model 2002 (0.5 µl/hr, 2 weeks)
0000296
Model 2004 (0.25 µl/hr, 4 weeks)
0000298
Model 2006 (0.15 µl/hr, 6 weeks)
0007223
2 ml Pumps
Model 2ML1 (10.0 µl/hr, 1 week)
0000323
Model 2ML2 (5.0 µl/hr, 2 weeks)
0000325
Model 2ML4 (2.5 µl/hr, 4 weeks)
0000327
Brain Infusion Kits
 
Order#
Quantity (kits)
 
BIK 1 (for 10 infusions)
0004760
 
BIK 2 (for 10 infusions)
0008663
 
BIK 3 (for 10 infusions)
0008851
 
Cannula Holders
 
Order#
Quantity
 
Cannula Holder 1
0008860
 
Cannula Holder 2
0008861
 
Wound Closure
 
Order#
Quantity
 
AutoClip Kit 100
(contains 100 clips, Applier, and Remover)
0009953
 
AutoClip Kit 500
(contains 500 clips, Applier, and Remover)
0009954
 
AutoClip Applier
0009956
AutoClip Remover
0009957
 
AutoClips 9 mm (100 clips per box)
0009950
Reflex Clips 7 mm (100 clips per box)
0009971
 
Reflex Kit 100
(includes Applier, Remover and 100 Clips)
0009972
 
Reflex Kit 500
(includes Applier, Remover and 500 Clips)
0009973
 
Reflex Applier
0009974
 
Reflex Remover
0009976
 
ALZAID Chemical Compatibility Kits
 
Order#
Quantity
 
ALZAID Chemical Compatibility Test Kit
0004750
 
Specialized Catheters
Mouse Catheters
 
Order#
Quantity (catheters)  
Mouse Jugular Catheter (each)
0007700
 
Mouse Jugular Catheter Adjustable Length (each)
0007701
 
Mouse Jugular Catheter Adjustable Length-Large Tip (each)
0007702
 
Mouse Intrathecal Catheter (each)
0007743
 
Mouse Intraperitoneal Catheter (each)
0007771
 
Rat Catheters
Rat Jugular Catheter (each)
0007710
 
Rat Femoral Catheter (each)
0007720
 
Rat Femoral Tapered Catheter (each)
0007730
 
Rat Intrathecal Catheter (each)
0007740
 
Rat Intrathecal Catheter-Short (each)
0007741
 
Rat Intraperitoneal Catheter (each)
0007770
 
Catheter Tubing
 
Order#
Quantity (bags)
Polyethylene Catheter Tubing (10 per bag)
0007750
   
Vinyl Catheter Tubing (10 per bag)
0007760
   
Loctite
 
Order#
Quantity
 
Loctite Adhesive, 3 gram tube
0008670
 
Filling Tubes
 
Order#
Quantity (filling tube)
 
Filling Tubes (100 μl pumps)
0007988
Filling Tubes (200 μl pumps)
0007987
Filling Tubes (2ml pumps)
0007986
Bill to:
Shipping preference


We utilize FedEx for shipping. Available domestic shipping options are FedEx ground, second day, or overnight. If one of these options are not selected at the time of ordering, we will ship via FedEx ground. For specific shipping costs, please contact us.


Conclude Order
Special Instructions
Comfirm Order ALZET Customer Service will contact you by the next business day to confirm your order and to supply pricing information. You may wish to print this form before submitting your order so you have a copy for your records.