Date / /

PACIFIC COAST TISSUE BANK
2400 S. Flower Street, 5th floor,Los Angeles,CA 90007
TEL (213) 745 - 5560 FAX (213) 745 - 3031



ORDER FORM

Product # of bottles
 27F  OSTEOMIN, Non-Demineralized Bone Powder  45 - 850 mic  0.5cc  $40.00
 27G  OSTEOMIN, Non-Demineralized Bone Powder  45 - 850 mic  1cc  $60.00
 70A  DEMBONE, Demineralized Bone Powder  250 - 850 mic  0.5cc  $40.00
 70  DEMBONE, Demineralized Bone Powder  250 - 850 mic  1cc  $60.00
 71  DEMBONE, Demineralized Bone Powder

                                BONE CHIPS SIZE

 850 - 2000 mic  1cc  $50.00
 80A  LAMBONE, Demineralized Laminar Bone  10 x 20 mm  1pc.  $120.00
 83CX  LAMBONE, Demineralized Laminar Bone  50 mm  1pc.  $550.00

       


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If you have any questions please call - (213) 745-5560 or fax - (213) 745-3031