Men's Landau - Description, Size Chart

Payment Method: *

MasterCard

VISA

American Express

Size *

Name: *

Quantity: Kettering Physician Network (KPN) provides onboarding physicians up to three lab coats per office location and advanced practice providers (APP) up to two lab coats per office location. Thereafter, KPN practice staff can use this website to order additional coats up to two per physician and APP per year - which will be charged to your practice operations budget. *

1

2

3 or more (Please complete next line if quantity is more than 3.)

PERSONAL PAY OPTION: For additional lab coats, please use the personal-pay option below. A COST CENTER is not needed when using personal pay option and can be used by all KPN medical staff. Please note, pricing includes initial dry-cleaning and pressing to arrive ready to wear.

MasterCard

VISA

Discover

American Express

Shipping Address *

Expiration *

Card Number *

Email: *

Check here to receive email updates

Expiration (If using Cost Center Option enter NA): *

Billing Address: (If using Cost Center Option enter NA): *

Amount: Long, or sizes 2XL - 4XL (Ex: Two x Size 52 = $98.40)

Payment Method: *

MasterCard

VISA

American Express

Line 1 - First Name (exactly as it will appear on embroidery) *

Amount:

Amount: Regular (sizes S - XL) (Ex: Two x Size 42 = $92.40)

Line 3 - Medical Director Option - Specialty:

Corporate Logo: *

Kettering Health Medical Group

Kettering Health

3 digit Code *

Embroidery Style: *

Standard - 2 Lines - Black Name, Black Title

Medical Officer - 2 Lines - Black Name, Teal Title

Medical Director - 3 Lines - Black Name, Teal Title, Teal Specialty

Line 2 - Specialty (optional)

Card Number (If using Cost Center Option enter NA): *

Email of person ordering: *

Check here to receive email updates

Name as it appears on card: (If using Cost Center Option enter NA): *

Line 2 - Practice or Specialty: Exactly as it will appear on embroidery *

Corporte Logo: *

Kettering Medical Center

Grandview Medical Center

Specify if Quantity is 4 or larger:

Name of person ordering: *

COST CENTER: Please enter your six digit (or 11 digits if you have a sub account) cost center HERE. If using PERSONAL PAY OPTION, enter NA. *

Size (See Size Chart Above): *

Line 1 - Name, Credentials (limit 2): Exactly as it will appear on embroidery *

CVC Code (If using Cost Center Option enter NA): *

Line 3 - Service (optional)

Line 1 - Credential (optional)

Line 1 - Last Name (exactly as it will appear on embroidery) *

LANDAU Lab Coat

Order by email please indicate size in numerical measurement

Men's