Order Softima Online

Order Online

To place your next order online please complete the form below.

About You

We will use your surname and postcode to link this order to your existing account:

Surname

Postcode

Contact Details

Telephone/ Mobile

Product

Product One

Product One Quantity

_________________________

Product Two

Product Two Quantity

_________________________

Product Three

Product Three Quantity

Multiple Choice:

Urimed 2 Litre Bag (UroSilk) Flow Collector 2 Litre Bag (High Flow)

Please tick this box if you require a personalised cutting service:

Yes

If you would like to order additional stock or cannot find your product in the drop down lists above please enter a description and quantity here:

Complimentary Items

Multiple Choice:

Wet Wipes Dry Wipes Disposable Bags Hand Sanitiser

Delivery note instructions:

Comment/ Additional Info:

The personal data you provide on this order form (surname, postcode, telephone, email) will be collected and stored in accordance with the requirements of the Data Protection Act 2018.

B. Braun will not share your personal data with any third party. In providing your personal data you consent for such data to be used for the purpose of dealing with your order request.

Please see the detailed Privacy Policy on our website: https://www.bbraun-emerald.co.uk/en/privacy-policy.html

You can alter your personal data preferences or unsubscribe from the service at any time by sending an email to emerald.bbmuk@bbraun.com.