Aurix Order Form

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CUSTOMER BILLING INFORMATION

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Description Product # Order Qty
Aurix® System Combination Kit
(Units of 1, 5 or 10) HOPD only
AUSP-01, -05, or AGWR-04
Aurix® System 4T (Single Kit)
Physician Office only
AUXP-4TR
Aurix® MultiFly 4 Pack
(Units of 1 or 25)
AUXP-001
Aurix® System Centrifuge AGSC-04
Aurix® XL Expansion Kit
(Units of 1 or 24)
AUXP-2T
Aurix® Full Expansion Kit
(Units of 1 or 24)
AUXP-4T
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request access to customer portal

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