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Info & Sample Request

Please let us know about you and your needs. We also would like you to check out our products. You may do so by requesting a sample.

Please send us your comments, tell us about you. Type as much as you like:



*Check the boxes of all the areas you are interested in.*

*Intermittent Catheter Systems*
	*Rüsch/MMG*™ ==>	French Size

External Catheter Systems
		Golden Drain®
		SureSeal
		Condom Style

*Drainage / Leg Bag Products*
	Button Leg Bags®
	2000cc Drainage Bag

*Accessories*
		Tubing
		Catheter Plug


Name
Address
City		State/Prov:
Country		Zip/Post. code
Day Phone
E-mail

Doctor's Name (Required for samples)
Doctor's Phone # (Required for samples)

	Phone:	1.800.514.7234
	Fax:	1.800.399.1028
	Email:	csrusch@teleflexmedical.com
	Address:	4024 Stirrup Creek Drive Suite 720
		Durham, NC 27703

L1434-0300