Accuro Free Two-Week Trial Request

Accuro® free two-week trial: Signature below.

Free two-week trial confirmation and signature.

Company address

107 E Water Street
Charlottesville, Virginia 22902



Today's Date



Shipping Details


Desired Trial Start Date:



Trial Item List

901-00002 T14: 901-00002 T14, Qty: 1, Price: $0.00
Accuro Spinal Anesthesia Guidance Instrument (For Two-week Trial)

4741 SL: 4741 SL, Qty: 10, Price: $0.00
Accuro sterile instrument cover kit with Locator™ needle guide.

Package contents include:
Accuro sterile instrument cover x 1
Rubber bands x 2
Sterile ultrasound gel pack x 1
Accuro Locator™ needle guide x 1


Sign here to start your Accuro free two-week trial today!

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Signature Certificate
Document name: Accuro Free Two-Week Trial Request
lock iconUnique Document ID: 7cd9bd02805d8a92bf435b39a02b3fc13081a899
Timestamp Audit
February 21, 2018 10:08 am EDTAccuro Free Two-Week Trial Request Uploaded by Rivanna Medical - IP