Women's LANDAU - Description, Size Chart

Amount: Regular, XS, S, M, L, XL:

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

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

Amount: 2XL

Line 2: Practice / Specialty *

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

Name as it appears on Card (If usng Cost Center Option, enter NA): *

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 more than 3. (See Quantity Criteria above.)

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) *

Email: *

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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

Card Number (If using cost Center Option, enter NA) *

Name: *

Size (See Size Chart Above): *

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

Right Chest Logo Option *

Kettering Physician Network

KHN Brain & Spine

Specify if Quantity is 4 or larger:

Women's Approved

Order by email

LANDAU Lab Coat