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Last Updated:

10/21/2019

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Membership Emails

Below is a sample of the emails you can expect to receive when signed up to ossur.

Credit Application...
New Credit Application...

Credit Application

Business Owner (Sell To)
Type of Entity
Federal Tax ID Number	Jon
Years in Business	Jon
Applicant Name	Jon
Certification Number	Jon
Type of Business
CPO name	Jon
Accrediting agency	Jon
Professional #	Jon
files
0	Mark
Key Management Members and Owners
1. Name	Jon
1. Title	Mr, Mrs
1. Ownership	Jon
2. Name	Jon
2. Title	Mr, Mrs
2. Ownership	Jon
Billing Address (Bill To)
Company	182 Langham Road
Accounts Payable Contact	147 Langham Road
Email address	@
Purchasing Contact	199 Langham Road
Global Location Number GLN	191 Langham Road
Telephone	07916150666
Fax	238 Langham Road
Billing Address	105 Langham Road
City	London
State	Jon
Zip Code	90275
Shipping Address (Ship To)
Company	161 Langham Road
Global Location Number GLN	226 Langham Road
Telephone	07921320084
Fax	192 Langham Road
Shipping Address	235 Langham Road
City	London
State	Jon
Zip Code	90275
Banking Information
Bank Name	Jon
Account Number	Jon
Contact Person	Jon
Telephone	07970147001
Fax	Jon
Address	174 Langham Road
City	London
State	Jon
Zip Code	90275
Credit References - Reference A
Company Name	Jon
Account Number	Jon
Telephone	07929700943
Fax	Jon
Address	243 Langham Road
City	London
State	Jon
Zip Code	90275
Credit References - Reference B
Company Name	Jon
Account Number	Jon
Telephone	07956747124
Fax	Jon
Address	154 Langham Road
City	London
State	Jon
Zip Code	90275
Payment Terms with Payment Method and Verification
Select Payment Method	Mark,Mark
Please Confirm	yes
Invoice/Statement Delivery Method: Group E-mail address preferred
Email address for billing	@
E-mail address for online portal to view, pay and receive invoices	@

This message was sent via the webform from this web address: https://www.ossur.com/customer-service/become-a-customer at 2019-10-21 15:15:15 GMT

---

Jon – Can you please complete the attached credit application for further review. The below application does not contain your business name or ship to name. Please complete entirely and email back to me for processing.

Credit Application

Business Owner (Sell To)
Type of Entity
Federal Tax ID Number	Jon
Years in Business	Jon
Applicant Name	Jon
Certification Number	Jon
Type of Business
CPO name	Jon
Accrediting agency	Jon
Professional #	Jon
files
0	Mark
Key Management Members and Owners
1. Name	Jon
1. Title	Mr, Mrs
1. Ownership	Jon
2. Name	Jon
2. Title	Mr, Mrs
2. Ownership	Jon
Billing Address (Bill To)
Company	182 Langham Road
Accounts Payable Contact	147 Langham Road
Email address	@
Purchasing Contact	199 Langham Road
Global Location Number GLN	191 Langham Road
Telephone	07916150666
Fax	238 Langham Road
Billing Address	105 Langham Road
City	London
State	Jon
Zip Code	90275
Shipping Address (Ship To)
Company	161 Langham Road
Global Location Number GLN	226 Langham Road
Telephone	07921320084
Fax	192 Langham Road
Shipping Address	235 Langham Road
City	London
State	Jon
Zip Code	90275
Banking Information
Bank Name	Jon
Account Number	Jon
Contact Person	Jon
Telephone	07970147001
Fax	Jon
Address	174 Langham Road
City	London
State	Jon
Zip Code	90275
Credit References - Reference A
Company Name	Jon
Account Number	Jon
Telephone	07929700943
Fax	Jon
Address	243 Langham Road
City	London
State	Jon
Zip Code	90275
Credit References - Reference B
Company Name	Jon
Account Number	Jon
Telephone	07956747124
Fax	Jon
Address	154 Langham Road
City	London
State	Jon
Zip Code	90275
Payment Terms with Payment Method and Verification
Select Payment Method	Mark,Mark
Please Confirm	yes
Invoice/Statement Delivery Method: Group E-mail address preferred
Email address for billing	@
E-mail address for online portal to view, pay and receive invoices	@

Thank you

Deena Corbisier

Sr. Credit & Collections Specialist, Finance

�ssur Americas

27051 Towne Centre Drive Ste. 100

Foothill Ranch, CA 92610

Tel: + 1 800 233 6263

Direct: 949 382 3725

Fax: 949 271-5023

E-mail: dcorbisier@ossur.com

Email-disclaimer

Think before you print

GO GREEN AND ENROLL IN PAPERLESS BILLING TODAY!!!

Notice to Recipient: This e-mail is confidential and meant only for the intended recipient[s] of the transmission and may be a communication privileged by law. If you received this e-mail in error, any review, use, dissemination, distribution or copying of this e-mail is strictly prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and please delete this e-mail from your system and destroy any copies.

Visit us at �ssur Academy online to get the latest information on our education offerings.


	Notice to Recipient: This e-mail is confidential and meant only for the intended recipient[s] of the transmission and may be a communication privileged by law. If you received this e-mail in error, any review, use, dissemination, distribution or copying of this e-mail is strictly prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and please delete this e-mail from your system and destroy any copies.

Notice to Recipient: This e-mail is confidential and meant only for the intended recipients of the transmission and may be a communication privileged by law. If you received this e-mail in error, any review, use, dissemination, distribution or copying of this e-mail is strictly prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and please delete this e-mail from your system and destroy any copies.

Raw Data Registration Structure Registration Form Text

Registration

Business Owner (Sell To) Note: Fields marked with * are requried Type of Entity *

Title

Phone

Home address

City

State

Zipcode

Corporation

Payment Terms with Payment Method and Verification Note: Fields marked with * are requried Selection and Agreement to �SSUR Americas offered termsNote: Select one box as the agreed to Standard Payment Terms and Payment Method � Any changes made to this Credit application without �ssur�s prior written consent shall be null and void. Select Payment Method *

Net 30 Days Payment Terms (Check · EFT/Wire · ) By selecting Net 30 you agree to pay �SSUR within 30 days after the date of invoice by check.

Credit Card Payment By selecting Credit Card terms you agree to pay by a provided card at time of shipment. If card fails for any reason terms default to due immediately - paid by check or wire. Please Confirm *

Data Name	Data Type	Options
Business Owner (Sell To) Note: Fields marked with * are requried Type of Entity *	Text Box
Title	Text Box
Email	Text Box
Phone	Text Box
Home address	Text Box
City	Text Box
State	Text Box
Zipcode	Text Box
	dropdown	Corporation
	file
	dropdown	Corporation
	option	Payment Terms with Payment Method and Verification Note: Fields marked with * are requried Selection and Agreement to �SSUR Americas offered termsNote: Select one box as the agreed to Standard Payment Terms and Payment Method � Any changes made to this Credit application without �ssur�s prior written consent shall be null and void. Select Payment Method *
	option	Net 30 Days Payment Terms (Check · EFT/Wire · ) By selecting Net 30 you agree to pay �SSUR within 30 days after the date of invoice by check.
	checklist	Credit Card Payment By selecting Credit Card terms you agree to pay by a provided card at time of shipment. If card fails for any reason terms default to due immediately - paid by check or wire. Please Confirm *