Ecolab Healthcare - DAZO Replacement Materials (non-device)

Your Information

Are you an IP (Infection Prevention) Account Executive? *

Yes

No

Are you only ordering DAZO Gels and / or Blacklights? *

Yes

No

Order Materials - IP Account Executives - DAZO Gels and Blacklights Only

If you are an IP Account Executive and only ordering DAZO gels or Blacklights, you should order directly through the below website:

http://hcparts.ecolab.com/

Steps to Order

1) In upper-left corner under Search, click the button "Search by Part Number"

2) Enter in the appropriate Part Number for DAZO gels or blacklights

DAZO Gel - 92026027

Blacklight - 92021207

3) Complete the checkout process

If you cannot access the site or have questions, email HCParts@ecolab.com

Contact Information

Date * +

Your Email Address *

Account Number *

Customer Name *

Contact Phone Number

Contact Email Address

Shipping Method *

SHIPPING DETAILS - STANDARD

3-5 business days

3:00 PM CST cut-off time

SHIPPING DETAILS - OVERNIGHT

Next day delivery

2:00 PM CST cut-off time

Shipping Country *

Shipping to *

Customer

Account Executive's Address

Account Executive Shipping Address

AE Name *

AE Phone Number

Address Line 1 *

Address Line 2

City *

State/Province *

Zip/Postal Code *

AE Cost Center * 🛈

Customer Shipping Information

Contact Name *

Department

PO #

Address Line 1 *

Address Line 2

City *

State/Province *

Zip/Postal Code *

Cost Center * 🛈

Order Materials - DAZO Gels, Blacklights, Cart / HTO Cards and Program Binders

What are you ordering? *

92026027 : DAZO MARKING GEL

92021207 : BLACKLIGHT EA

S42833 : CART / HTO CARDS - PATIENT ROOM

ELIT013410 : CART / HTO CARDS - OPERATING ROOM

PROGRAM BINDERS - PATIENT ROOM

PROGRAM BINDERS - OPERATING ROOM

PROGRAM BINDERS - OPERATING ROOM - CHS ONLY

Quantity - 92026027 : DAZO MARKING GEL *

Quantity - 92021207 : BLACKLIGHT EA *

Quantity - S42833 : CART / HTO CARDS - PATIENT ROOM *

Quantity - ELIT013410 : CART / HTO CARDS - OPERATING ROOM *

Quantity - PROGRAM BINDERS - PATIENT ROOM *

Quantity - PROGRAM BINDERS - OPERATING ROOM *

Quantity - PROGRAM BINDERS - OPERATING ROOM - CHS ONLY *

Notes

Additional Instructions/Comments