Solmetex AutoShip Program

Let Solmetex Help to Keep Your Office in Compliance

The Solmetex AutoShip program ensures your office is never without a collection container on hand and is always in compliance.  Our complimentary service will automatically send your practice a collection container annually or according to your schedule. No contracts, no fees.

To enroll, simply either fill out the form below, call Solmetex Customer Care line 800-216-5505 or print the AutoShip form to scan/email  or fax the form back to us.           

AND as a bonus and THANK YOU for enrolling in our AutoShip program, we will send you a $10 gift card of your choice to either Amazon, Starbucks or Bath & Body Works.

Doctor Name*
Contact Person:*
E-mail*
Phone:
-
Dealer of Choice:*
If Other, please specify dealer:
Gift Card Preference:*
Practice Name*
Address:*
# of Collection Containers to ship every 12 months*
Promo Code: