Purchase Order Orthodontist in Belgium Brussels –Free Word Template Download with AI

1. Parties to This Purchase Order

2. Purchase Order Description

This Purchase Order is issued by OrthoBrussels Dental & Orthodontic Centre, a registered orthodontic practice operating in Belgium Brussels, for the procurement of orthodontic equipment, consumables, and specialised materials required for the ongoing clinical operations of our Orthodontist team. This document serves as a formal binding request for the supply of goods listed below and constitutes the primary reference for all subsequent invoicing, delivery scheduling, and quality assurance inspections associated with this transaction.

All items procured under this Purchase Order must comply with the applicable Belgian and European Union medical device regulations, including Regulation (EU) 2017/745 (MDR) and the relevant orthodontic appliance standards. The supplier acknowledges that all goods are intended for use by a licensed Orthodontist and dental professionals within the Brussels-Capital Region of Belgium and must meet the CE marking requirements for medical devices marketed in the European Economic Area.

3. Line Items and Pricing

4. Delivery and Logistics

The supplier shall deliver all goods listed in this Purchase Order to the OrthoBrussels Dental & Orthodontic Centre premises located at 124 Rue de la Loi, 1040 Brussels, Belgium. Delivery is scheduled no later than 28 June 2025. All shipments must be made via a registered courier service operating within Belgium and must include a packing list that references this Purchase Order number (BB-ORT-2025-04782). The supplier is responsible for all transportation costs, insurance, and customs documentation (if applicable for intra-EU transfers). Upon arrival at our Brussels facility, our receiving team will inspect all orthodontic items for damage, correct quantity, and compliance with the specifications outlined in this document. Any discrepancies must be reported to the supplier within five (5) business days of delivery.

5. Payment Terms and Conditions

• Payment Method: Bank transfer (SEPA) to the supplier's designated Belgian bank account. IBAN and BIC to be confirmed in the supplier's proforma invoice.
• Payment Due Date: Net 30 days from the date of receipt of a valid invoice referencing this Purchase Order. No payment shall be due prior to satisfactory delivery and inspection of all goods.
• Currency: All amounts are denominated in Euro (EUR). No currency conversion fees shall be applied.
• Warranty: All orthodontic equipment and materials must carry a minimum manufacturer's warranty of two (2) years from the date of delivery. The supplier shall provide full warranty documentation with each shipment.
• Quality Assurance: All products must bear valid CE marking and comply with Belgian and EU medical device regulations. The supplier warrants that all items are new, unused, and free from defects.
• Return Policy: Defective or non-conforming items may be returned within thirty (30) days of delivery at the supplier's expense. A replacement or full refund will be issued within fourteen (14) business days of return receipt.
• Governing Law: This Purchase Order and any disputes arising therefrom shall be governed by the laws of the Kingdom of Belgium. Jurisdiction is exclusively vested in the competent courts of Brussels, Belgium.
• Confidentiality: Both parties agree to maintain the confidentiality of all commercial terms, pricing, and patient-related information exchanged in connection with this transaction.

6. Authorisation and Signatures

This Purchase Order is authorised and executed on behalf of the OrthoBrussels Dental & Orthodontic Centre, a registered healthcare provider in Belgium Brussels. By signing below, both parties acknowledge and agree to all terms, conditions, and specifications set forth in this document. This Purchase Order becomes effective upon the signature of both the authorised representative of the Orthodontist practice and the authorised representative of the supplier.