SIR-Spheres® is a registered trademark of Sirtex SIR-Spheres Pty Ltd.
By submitting this Credit Card Payment Form (“Form”), the Customer gives Sirtex Medical, Inc. (“Sirtex”) permission to debit Customer’s account for the amount indicated on or after the indicated date. Such submission constitutes Customer’s acceptance of Sirtex’s Order and Cancellation Policy, a copy of which is available upon request, as well as certification that all required steps (i.e. insurance approval, lab work, etc.) have been performed prior to ordering and that Customer is appropriately licensed to handle the products ordered herein.
Customer certifies they are an authorized user of this credit card and this payment will not be disputed with the applicable credit card company provided the transaction corresponds to the terms indicated herein. If for any reason payment cannot be completed via the credit card provided on this Form, Customer shall be liable for any outstanding balances due.
Now leaving sirtex.com
You are about to leave the Sirtex Web site. This link is provided to you as a service and will take you to a site maintained by a third party who is solely responsible for the content.
Please be aware that Sirtex takes no responsibility for content of these external sites, nor do we endorse, warrant or guarantee the products, services or information described or offered on other internet sites.
Click 'Continue' to proceed to the third-party Web site.
Now leaving sirtex.com
You are about to leave the Sirtex Website. This link is provided to you as a service and will take you to the Sirtex Virtual Booth.
Sirtex is responsible for the content of the Virtual Booth, which is hosted on a website maintained by a third-party. Except for Sirtex’s Virtual Booth experience, please be aware that Sirtex takes
no responsibility for the other content of these external sites, nor do we endorse, warrant, or guarantee the products, services or information described or offered on other internet sites.
You are now leaving your current sirtex.com region
The Sirtex site you are linking to is intended only for healthcare practitioners and patients outside your current region.
Any products discussed herein may have different approved product labeling; therefore, any information provided may not be appropriate for use in your region.
Click 'Continue' to proceed to the other Sirtex region Web site.