If you would like to Place an Order please choose one of the following options:

• Call (708) 342-2680 
• Fax (708) 342-2681
• Complete the Form Below 

For Placing an Order

Please include the following information in your request.

1. Name of Facility and Customer ID Number
2. Current Shipping Address and Current Billing Address
3. Purchaser Name, Phone, Fax, and Email Address
4. Purchase Order Number
5. Vital Care Item Number, Description and Quantity Needed

For Cross References

Please include the following information in your request.

1. Detailed description of the product currently in use including the manufacturer name and reference code
2. Include all dimensions of current product if possible (height, width, depth, length, volume, density, etc.)
3. Describe the packaging: for example the number of units per case, number of units per package, is the item packaged as a kit with multiple components
4. Provide us with estimated annual usage