⚠️ Limited Browser Features Detected

Your browser may have limited JavaScript support:
• Price calculations may not update in real-time
• Some interactive features may not work properly
You will still receive an order confirmation email if your submission is successful.

Request for Quote Form

Complete this form to request a price quotation for DPNCheck peripheral neuropathy testing device and accessories. All fields marked with * are required.

Account Information

Primary Clinician or Contact Person

Ship to Name and Address (if different from bill-to)

Product Selection

Catalog # Item Description # of Units Comments
NC-040 DPNCheck 2.0 Device (incl. lithium battery, USB cable)
DB-050 DPNCheck 50 Patient Kit - 50 Biosensors & Accessories (gel, prep pads, foam)
2203489 Foam Pad
2203492 Lithium Ion Battery
2205684 USB-C Cable for DPNCheck 2.0
NC-R02 UB Factory Reset
REPORTER DPNCheck Reporter Software v. 2.3 (Windows application)

Preferred Shipping Method

Note: Shipping & Handling is determined based on weight and distance. FOB: Buckley, WA

Terms and Conditions

THE ELECTRODE STORE STANDARD TERMS AND CONDITIONS

These Terms and Conditions shall apply to all sales or products and materials ("Products") from The Electrode Store ("Seller") to Buyer under quotations or purchase orders that are attached to or reference these Terms and Conditions, including subsequent orders placed by telephone, facsimile or e-mail. Seller's acceptance of Buyer's order is conditioned upon Buyer's acceptance of the Terms and Conditions. All Terms and Conditions contained on any order form or correspondence originated by Buyer that add to or conflict with any of the Terms and Conditions are null and void notwithstanding acceptance of the order by Seller. THE PRINCIPAL(S) WHOSE SIGNATURE(S) APPEAR ON THE PURCHASE ORDER AGREE TO GUARANTEE BUYER'S PERFORMANCE UNDER THESE TERMS AND CONDITIONS, INCLUDING ALL PAYMENT OBLIGATIONS OF BUYER, AND AGREE THAT SELLER MAY OBTAIN REPORTS REGARDING BUYER'S AND EACH PRINCIPAL'S CREDIT HISTORY AND CREDITWORTHINESS.

1. ORDER/DELIVERY. Note: The products may not be available in some countries. Purchase orders shall be binding on Buyer when issued to Seller, but shall not be binding on Seller unless and until Seller has accepted such purchase order by written acceptance or by shipping the ordered Products. For avoidance of doubt, the sale of any consumable/disposable Products sold for use with other Products under these Terms and Conditions shall be subject to these Terms and Conditions even if the sale of such consumable/disposable Products is not pursuant to a formal purchase order referencing these Terms and Conditions. Shipment will be made in a manner determined by Seller. All prices are F.O.B. Seller's place of shipment with shipping and handling fees prepaid and added to the invoice amount, unless otherwise expressly agreed by Seller. Title and risk of loss or damage to the Product shall pass to the Buyer at the same time Seller delivers possession of the Product to a carrier at Seller's place of shipment, except that any software provided with or as part of such Product is licensed nonexclusively solely for use with or as part of such Product, as the case may be, and is not sold.

2. PAYMENT TERMS. Buyer shall pay the invoiced amount via credit card in advance of shipment, unless otherwise expressly agreed by the parties. Where other terms are agreed by the parties, Seller may assess reasonable costs of collection and an interest charge of up to one and on half percent (1.5%) per month on all amounts which are not timely paid (but not to exceed the maximum lawful rate). Buyer hereby grants to Seller a purchase money security interest in the Product to secure the purchase price of the Product until the purchase price is paid in full. Buyer agrees to execute and deliver all documents requested by Seller to perfect and maintain Seller's security interest.

3. TAXES, DUTIES, LEVIES AND SIMILAR CHARGES. The prices quoted do not include any applicable duties or sales, use, excise, value added or similar taxes or governmental charges now or hereafter in effect with respect to the Products, or the shipment or use thereof, all of which duties, taxes and charges shall be the responsibility of, and shall be paid by Buyer. Seller may collect sales tax in certain states, as indicated on the invoice.

4. WARRANTY. Seller makes only those warranties with respect to Product expressly identified in writing as "warranties" and set forth in Seller's current operating manual or catalogues, or in specific written warranty included with the shipment of the Product, in any (the "Express Warranty"). Except as expressly set forth above, SELLER, AND ITS AFFILIATES, SUBCONTRACTORS AND SUPPLIERS, PROVIDE THE PRODUCT "AS IS" AND TO THE MAXIMUM EXTENT PERMITTED BY APPLICABLE LAW, SPECIFICALLY DISCLAIM ALL OTHER WARRANTIES, EXPRESS OR IMPLIED, INCLUDING ANY WARRANTY OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE OR NONINFRINGEMENT. BUYER'S SOLE AND EXCLUSIVE REMEDY FOR BREACH OF WARRANTY SHALL BE SELLER'S OBLIGATION TO REPAIR OR REPLACE THE PRODUCT OR PROVIDE A REFUND AS SET FORTH IN THE EXPRESS WARRANTY.

5. RESTRICTIONS. Buyer shall comply with all laws rules and regulations applicable to the use, distribution, exportation, marketing and promotion of Products and services using the Products. Further, Buyer shall use and promote the Products, and services using the Products, solely in accordance with any instructions provided by Seller, and solely for the uses stated on the Product label or in the Product manual, if any.

6. INDEMNITY/LIMITATIONS OF LIABILITY. Seller shall not be responsible for any loss or injuries caused by the use of the Products by Buyer or its affiliates, personnel, customers, or agents. Buyer agrees to indemnify, defend and hold Seller, and its officers, directors, affiliates, contractors and suppliers, harmless against any suits, claims, damages, costs and expenses, arising out of any breach of the Terms and Conditions, or use of the Products by Buyer or its affiliates, personnel, customers or agents, except to the extent caused by the negligence or misconduct of the Seller. TO THE MAXIMUM EXTENT PERMITTED BY APPLICABLE LAW, (A) SELLER SHALL NOT BE LIABLE FOR INCIDENTAL, INDIRECT, SPECIAL, EXEMPLARY OR CONSEQUENTIAL DAMAGES INCLUDING, BUT NOT LIMITED TO, LOSS OF GOODWILL OR REPUTATION, LOST PROFITS, SAVINGS OR REVENUES OF ANY KIND, WHETHER OR NOT SELLER HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES, UNLESS OTHERWISE CONTRARY TO STATE LAW, AND (B) SELLER'S AGGREGATE LIABILITY SHALL NOT EXCEED THE PURCHASE PRICE OF THE PRODUCTS.

7. MISCELLANEOUS. Product returns must be made within thirty (30) days from the date of Seller's invoice for Standard Return. Otherwise, products may not be returned except during the Express Warranty period if non-compliant with the Express Warranty. Any returns require an RMA number issued by Seller. Buyer shall not assign these Terms and Conditions or any rights or obligations hereunder without the prior written consent of Seller. Any attempted assignment without Seller's consent shall be void and ineffective. These Terms and Conditions and all transactions hereunder shall be governed by the laws of the Commonwealth of Washington excluding its choice of law rules and excluding the United Nations Conventions on Contracts for the International Sale of Goods. The parties irrevocably consent to the exclusive jurisdiction of, and venue in, the federal and state courts in Washington. By accepting delivery of these goods, Buyer waives any objections to this choice of law and exclusive forum selection. If any provision hereof, or the application of such provision to any person or circumstance is held invalid or unenforceable in any jurisdiction, the remaining provisions or the application of such provision to person or circumstances other than those as to which it is held invalid or unenforceable, or in other jurisdictions, shall not be affected thereby. These Terms and Conditions supersede all prior oral or written understandings between the parties and shall constitute the entire agreement between the parties with respect to the subject matter of these Terms and Conditions. These Terms and Conditions shall not be modified or amended except by a writing signed by Buyer and Seller.

This document is for use by The Electrode Store only.
159 W Mason Ave, Buckley, WA 98321
844.DPN.CHECK (844.376.2432)
Form F210 Rev. C

For Purchase Orders - Established Customers

If you are an established customer who has previously ordered, and you are ready to place another purchase order, you can submit it through any of the following methods:

Mail:
The Electrode Store
PO Box 188
Enumclaw, WA 98022
Phone:
(360) 829-0400
Toll-Free: 1-800-537-1093
Fax:
(360) 829-0402
Email:
customerservice@dpncheck.com