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Customer Service

Customer Service Form for SVMMC

This page is only for CHP Northern Region and affiliates (SVMMC, SAMC, SCMC, MHP, RHVC, etc)

 

Service ID# (Items in red are required)


Would you like to order supplies? Please Insert Quantity for Each

Black toner or ink

Cyan toner or ink

Yellow toner or ink

Magenta toner or ink

Tri-color ink

Other  


Hospital location. Choose the closest city:

Greater Toledo Area

Defiance

Tiffin

Willard

 

 

THANK YOU FOR YOUR ORDER. WE APPRECIATE YOUR BUSINESS!

What are the best days to deliver? (select multiple)

Monday

Tuesday

Wednesday

Thursday

Friday


Delivery Service

Standard (3 business days)

Urgent (48 hours)


Anything else we can help you with?


In case we need to contact you, please provide the following information.

 

Your Name
Your phone number
Your email address
Building/Room number