Sustainable Hospitals - Vendor Notification

If you are a vendor of healthcare products, use this form to tell us about your products. The products you describe should represent alternatives to the use of PVC, Mercury, Latex, Sharps or toxic solvents in the hospital setting.

Company Information
Company Name:
Contact name:
Title:
Email address:
Web Site URL:
Phone:
Fax:
Street Address:







Product Information
Product description:

Regional Distribution (e.g., Europe, North America):

Please describe the materials used in this product, especially the use of non-toxic and non-polluting materials:

Please describe the relevant performance characteristics of the product (e.g., sterilizability, shelf-life, strength, permeation characteristics, etc.):

If your product has special storage requirements, please describe them:

If your product has special disposal requirements, please describe them:

If your product has special handling requirements, please describe them:

How long has your product been available?

If your product is currently in the process of being approved by a regulatory body, please describe the product's status:

If your company is a member of an American GPO, enter the name of the GPO here:


Cost and Shipping Information
Unit Price:

Bulk Price:

Shipping Weight:

Shipping Dimensions:

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