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Biopsy & Breast Localization
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About Us
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OEM
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Customer
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HPG
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Agent Representative (if applicable): Name and Email
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Will default to ground if not specified
Third Party Freight Account # (if applicable)
Tax Exempt?
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Customs Documentation Required?
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Anticipated Average Order Size
Under 15k USD
15k-50k USD
50k+ USD
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ACH
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Name and Email
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