- Complete the boxes at the top of the Order Form and Rental Agreement with the desired product(s) and accessories. Include price, tax, freight and totals. Contact Customer Service to get freight charges and help with tax rates.
- Complete the "Date that Product is Needed" section. Because of the limited availability of some products, we will make every reasonable attempt to accommodate your schedule.
- Complete the "Bill To" and "Ship To" boxes. If they are the same, write "Same" in the "Ship To" box.
- Select a Method of Payment. Payment must be received with the Order Form and Rental Agreement. If products are funded by Medical Assistance, include any applicable deductible payment.
- Sign the Order Form and Rental Agreement and send it to ZYGO by fax (510) 770-4930 or mail it to ZYGO-USA, 48834 Kato Road, Suite 101-A, Fremont, CA 94538. You can also e-mail a PDF version of the signed form to us at zygo@zygo-usa.com.
- Rental program information
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