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Mercury Reduction Vendor Product Mercury - Content Disclosure Source: "Reducing Mercury Use in Health Care" Click here to download a PDF version of this document Click here to download a MS-Word version of this document |
| Hospital Name | ________________________________ |
| Name of Hospital Purchasing Agent | ________________________________ |
| Address | ________________________________ |
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________________________________ |
| Telephone | ________________________________ |
| Fax | ________________________________ |
The above-named Hospital has the policy of minimizing the use of mercury in products
purchased for the Hospital. Such products may include:
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| Vendor name | ________________________________ |
| Name of vendor’s agent | ________________________________ |
| Address | ________________________________ |
| |
________________________________ |
| Telephone | ________________________________ |
| Fax | ________________________________ |
The above-named vendor agrees to:
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| _____________________ | ____________ |
| Signature of vendor’s agent | Date |
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Mercury Reduction R E G I S T E R G L O S S A R Y F E E D B A C K S I T E M A P H O M E |
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Copyright © 1998 Sustainable Hospitals / Lowell Center for Sustainable Production All rights reserved. Images copyright © 1998 PhotoDisc, Inc. |