INTERNAL USE ONLY:
Fax to ASPS at (847) 228-7099
Personalization Order Form
(Personalized items may not be returned.)
Order Information:
ASPS MEMBER NAME
ASPS MEMBER ID#
ASPS Lab Coats
Add your name above the ASPS logo for an additional $15 per lab coat. Maximum 2 lines of 20 characters, including commas and spaces. Allow 10 weeks for delivery.
7123 Men's Regular 39" long Size ____ Qty ____
7124 Men's Tall 41" long Size ____ Qty ____
7125 Women's Regular 37" long Size ____ Qty ____
7126 Women's Tall 39" long Size ____ Qty ____
Indicate lab coat size when ordering:
Women's Regular: 4-20
Women's Tall: 10-20
Men's Regular: 32-56 Men's Tall: 38-56
ASPS Member Surgeon Scrubs
Add your name above the ASPS logo for an additional $15 per scrub top. Maximum 2 lines of 20 characters, including commas and spaces. Allow 10 weeks for delivery.
7200 Top
XS 3X
Size ____ Qty ____
Color____
7210 Pants XS SX (Regular) Size ____ Qty ____ Color____
7211 Pants ST XLT (Tall)
Size ____ Qty ____
Color____
7212 Pants XS 2X (Short) Size ____ Qty ____ Color____
Personalization Stickers
Printed in black ink with physician name or multiple
associate names, practice address, phone/fax numbers,
and website address. Up to eight lines of copy may be
imprinted. Allow six weeks for delivery.
With ASPS Symbol (1 ½" x 2 ¾")
ASPS Active and Life Members only.
Available in quantities of 250.
1122-01 Gloss White
1122-02 Clear
1122-03 Gold Foil
1122-04 Silver Foil
Without ASPS Symbol (1 ½" x 2 ¾")
1123-01 Gold Foil
ASPS Membership Certificate
Display certificates in your exam/reception areas to increase patient confidence
ASPS Active Members only.
2111
8
½
" x 11" Certificate ASPS Member Logo
Qty ____
Personalization Stickers Imprint Information:
Please print exactly as you wish the imprint to appear. Include upper and lower case letters, punctuation and spaces.
We recommend a maximum of 40 characters per line.
LINE 1
LINE 2
LINE 3
LINE 4
LINE 5
ASPS Membership Certificate/Plaque Imprint Information:
Please print exactly as you wish the imprint to appear. Include upper and lower case letters, punctuation and spaces.
Return this form within 5 days of placing your order or order will be cancelled.
Lab Coat/Scrub Top Imprint Information:
Please print exactly as you wish the imprint to appear. Include upper and lower case letters, punctuation and spaces.
Personalization Embroidery Scrubs/Lab Coats
ASPS Active Members only.
7127
ASPS Personalization Embroidery
7128
ASPS Member Surgeon
Personalization Embroidery
7131
Name Only
ASPS Membership Plaque
The personalized, etched plaque visibly displays the significance of your ASPS Membership.
ASPS Active and Life Members only.
2112
12" x 15" Plaque ASPS Member Logo
Qty ____
Order Information
Four Ways to Order
Online
shopASPS.org
Fax
(847) 228-7099.
Include a completed
order form and credit
card information.
Phone
(800) 766-4955 or
(847) 228-9900, ext. 471
Monday Friday,
8:30 am 5:00 pm
(Central).
Please have your credit
card number, expiration
date and catalog available.
Mail
Use the order form
provided and include a
check, money order or
credit card information
and mail to:
ASPS
444 East Algonquin
Road
Arlington Heights, IL
60005-4664
Attention: Member
Services
Make checks and money
orders payable to ASPS
(U.S. funds only).
One-Stop Service
For product and meeting
information, or membership
questions call Monday Friday, 8:30
am 5:00 pm (Central), or write:
ASPS
444 East Algonquin Road
Arlington Heights, IL 60005-4664
ASPS Executive Office
Toll Free: (800) 766-4955
Main: (847) 228-9900
Fax: (847) 228-7099
Email: memserv@plasticsurgery.org
Special Prices
ASPS Resident Affiliate Group
Members are eligible for ASPS
Member prices on physician education
products in this catalog.
Payment
ASPS accepts Visa
®
, MasterCard
®
,
American Express
®
, checks, and
money orders (U.S. funds). Make
checks and money orders payable
to ASPS.
Shipping and Handling
In order to avoid raising shipping and
handling fees, we've adapted a new
structure that recognizes additional
costs to ship heavy patient-education
brochures and rush orders without
penalizing lighter items such as DVDs.
Handling
A $4.80 handling charge will be added
to all orders.
Shipping Within the Continental
U.S.: The shipping charge for any
order containing patient-education
brochures will be 7.5% of the total
order amount. For all other orders,
please add $8.00 shipping if your
total is $1 - $400; add 2.5% of the
total order amount if your total is over
$400.
Shipping Outside Continental
U.S.: Please call or fax your order and
we will send you a pro forma invoice
with shipping charges. Upon receipt
of payment your order will be promptly
shipped.
Delivery
All orders are processed within 48
hours of receipt. Deliveries are made
within 7-10 business days in the U.S.
unless otherwise noted in the product
description. You will be notified of any
back order situation.
Rush Orders
Rush orders may be serviced by
calling ASPS toll-free at (800) 766-
4955 for an estimate of cost and
delivery time. A rush handling fee of
$15 for second day rush orders and
$25 for overnight rush orders will be
added to the express shipping rate.
This service is not available for all
products; ask the representative at
time of order.
Return Policy
Your satisfaction is important
to us.
Items purchased from ASPS and
returned
within 30 days from the
date of receipt in new condition,
including the original box or
packaging, are eligible for refund
or exchange
except: personalized/
customized items and products
viewed/downloaded online.
To arrange for a return or
exchange,
call ASPS Member Services at
(800) 766-4955 or (847) 228-
9900, ext. 471 and ask for a Return
Merchandise Authorization (RMA)
and shipping instructions. Items
received without an RMA will not be
credited. All merchandise defects will
be verified and must be confirmed
prior to shipment of the replacement.
Refund amounts will be adjusted
for items originally purchased under
a special promotion or quantity
discount; shipping, handling,
insurance fees, or other charges are
not refundable or reimbursable.
How to access "Members Only"
Content Online
(Initial log in only; you may change
your password.)
Members Go to:
www.plasticsurgery.org and enter
your username and password into the
Member Login area in the top right
corner of page.
Username: Your email address
Password: Your ASPS Member ID
number. If you forgot your password,
click on "Forgot your password" in the
top right corner of the page and it will
be emailed to you.
Office Staff
Office staff can access Members
Only Content and share information
with other staff on their own message
board.
Go to: PlasticSurgery.org and enter
your username and password into the
Member Login area in the top right
corner of page.
Username: "staff" and your
physician's Member ID# (example:
staff0123)
Password: Your ASPS Member ID
number. If you forgot your password,
click on "Forgot your password" in
the top right corner of the page and
it will be emailed to the member's
email address.
Information in this catalog is current as of June 2013.
Information, availability and pricing subject to change.