ORDER SUPPLIES ONLINE

Please submit your request for supplies at any time, however our hours of operation are Monday through Friday 8 a.m. – 5 p.m. If you have questions please call us at 479-636-0001

Please complete the form below as thoroughly as possible and we will process your order according to our policy which is to deliver non-critical supplies on Monday, Wednesday and Friday following the day of the order. Please call our main office if you wish to submit and order for same-day delivery and we will be happy to handle your critical request on a case-by-case basis. You will receive a phone call within two hours to confirm your order. Please remember to click submit for form transfer.

Please provide the following information so we can confirm your request:

Name:
Department:
Organization:
Work Phone:
Email:
Description of Supplies Needed:

Is the contact person the same person that submitted this request?
If it is not, please enter that information in the boxes below.

Contact Name:
Department of Contact:
Phone Number and Extension:

ORDER SUPPLIES ONLINE

Please provide the following information so we can confirm your request:

Is the contact person the same person that submitted this request? If it is not, please enter that information in the boxes below.

Please provide the entire ID number from the PBS Sticker on the front of the machine for which you need supplies.

Is the contact person the same person that submitted this request?
If it is not, please enter that information in the boxes below.

Please provide the entire ID number from the PBS Sticker
on the front of the machine for which you need supplies.