On-Line Ordering Form

Use this form to place an on-line order for ALZET Osmotic Pumps using purchase orders (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:

ALZET Customer Service 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		Must be a multiple of 10
Model 1007D (0.5 µl/hr, 7 days)	0000290		Must be a multiple of 10
Model 1002 (0.25 µl/hr, 2 weeks)	0004317		Must be a multiple of 10
Model 1004 (0.11 µl/hr, 4 weeks)	0009922		Must be a multiple of 10
200 µl Pumps
Model 2001D (8.0 µl/hr, 1 day)	0000294		Must be a multiple of 10
Model 2001 (1.0 µl/hr, 1 week)	0000292		Must be a multiple of 10
Model 2002 (0.5 µl/hr, 2 weeks)	0000296		Must be a multiple of 10
Model 2004 (0.25 µl/hr, 4 weeks)	0000298		Must be a multiple of 10
Model 2006 (0.15 µl/hr, 6 weeks)	0007223		Must be a multiple of 10
2 ml Pumps
Model 2ML1 (10.0 µl/hr, 1 week)	0000323		Must be a multiple of 10
Model 2ML2 (5.0 µl/hr, 2 weeks)	0000325		Must be a multiple of 10
Model 2ML4 (2.5 µl/hr, 4 weeks)	0000327		Must be a multiple of 10

Brain Infusion Kits

	Order#	Quantity (kits)
BIK 1 (for 10 infusions)	0004760
BIK 2 (for 10 infusions)	0008663
BIK 3 (for 10 infusions)	0008851

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
AutoClip® Wound Clips (100 clips)	0009950
AutoClip® Wound Clips (500 clips)	0009951
AutoClip® Wound Clips (1,000 clips)	0009952

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
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

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		Must be a multiple of 10
Filling Tubes (200 μl pumps)	0007987		Must be a multiple of 10
Filling Tubes (2ml pumps)	0007986		Must be a multiple of 10

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.

ALZET® Osmotic Pumps - Product Ordering

On-Line Ordering Form

ALZET Customer Service: