SuperTAD Order Form

Name of Office or Practice:*
Name*

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E-mail*
example@example.com
Contact Number*
Billing Address*

Street Address

Street Address Line 2

CityState / Province

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Payment Type

Current Cottonwood Labs account, please bill and use payment method on file.I am a new customer and have provided information needed to set up my account.Venmo
New Customers,

Login credentials for the Cottonwood Labs Customer Portal, used for payment processing will be sent to the email address used in this order.

Upon setting up the account (submitting payment information), you may complete future orders with auto-pay.

For security purposes, please do not submit payment information using this form.

Please use the Cottonwood Labs Customer Portal for a secure payment method and order tracking.

Orders may also be submitted directly to the Cottonwood Labs Customer Portal.

We look forward to doing business with you.
Is the shipping address same as billing address?

YesNo
Shipping Address*

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Recipient's Full Name

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Delivery Date Availability:*

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Special Instructions:
SuperTAD Order Form

Free shipping on orders over $360.00 USD.

17mm SuperTAD Product Image

17mm SuperTADIZC Screw Stainless Steel 2.0 x 17 mm Round Hole BioRay (ME4042)

$60.00 Quantity

14mm SuperTAD Product Image

14mm SuperTAD IZC Screw Stainless Steel 2.0 x 14mm Round Hole BioRay (ME4044)

$60.00 Quantity

12mm SuperTAD Product Image

12mm SuperTADA-1 PI Stainless Steel 2.0 x 12mm Round Hole (ME4043)

$60.00 Quantity

10mm SuperTAD Product Image

10mm SuperTAD A-1 PI Stainless Steel 2.0 x 12mm Round Hole BioRay(ME4045)

$60.00 Quantity

A-1 PI Product Image

A-1 PIStainless Steel Triple Layer Power Chain Round Hole BioRay

$60.00

Screw Size	Quantity
1.5 x 8mm (ME4018)

A-1 H1 Power Chain and Coil Product Image

A-1 H1 Power Chain and Coil Hook Top With Round Hole BioRay

$60.00

Screw Size	Quantity
2 x 12mm (ME4053)
2 x 14mm (ME4054)

A-1 Torque Scerw BioRay Product Image

A-1 Torque Scerw BioRayHook Top With Square Hole(ME4055)

$60.00

Screw Size	Quantity
2 x 12mm

Bracket Screw Product Image

Bracket ScrewStainless Steel P Head with Bracket

$60.00

Screw Size	Quantity
1.5 x 7mm (ME4016)
1.5 x 10mm (ME4050)

V Screw Product Image

V ScrewV-Screw Stainless Steel Button Top

$60.00

Screw Size	Quantity
1.4 x 7mm (ME4017)

Hand Driver Product Image

Hand DriverFits all A screws and SupperTAD's (ME5051)

$95.00 Quantity
Item subtotal:$0.00

Rotatable Handle Product Image

Rotatable HandleFits Regular Long Blade and V Long Blade (ME4021)

$195.00 Quantity

Ratchet and Ratchet Adapter Combo Product Image

Ratchet and Ratchet Adapter Combo Fits all A screws and SuperTAD's (ME4010)

$295.00 Quantity

Regular Long Blade Adapter Product Image

Regular Long Blade AdapterFits all A-1 and IZC screws and SuperTAD's (ME4019)

$80.00 Quantity

V Long Blade Adapter Product Image

V Long Blade Adapter Fits all V screws (ME1014)

$80.00 Quantity

25mm Blade for Engine Product Image

25mm Blade for EngineFits all A screws and SuperTAD's (ME4011)

$80.00 Quantity

25mm Blade for Engine V-Screws Product Image

25mm Blade for Engine V-ScrewsFits all A-1, IZC screws and SuperTAD's (ME4015)

$80.00 Quantity

35mm Blade Engine Product Image

35mm Blade Engine Fits all A-, IZC screws and SuperTAD's. (ME4012)

$80.00 Quantity

Ratchet Adapter Only Product Image

Ratchet Adapter Only Fits all A screws and SuperTAD's(ME4013)

$80.00 Quantity

Enter coupon

Total

$0.00

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