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Purchase Order Orthodontist in France Lyon –Free Word Template Download with AI

Orthodontic Practice Supply Procurement — Lyon, France

Cabinet d'Orthodontie — Lyon, Auvergne-Rhône, France

PO No.: PO-LYON-ORTHO-2025-0472
Date of Issue: 14 June 2025
Valid Until: 14 July 2025

Buyer (Orthodontist Practice)

Cabinet d'Orthodontie Dr. Marie-Louise Fontaine

12 Rue de la République

69002 Lyon, France

Tel: +33 4 72 00 45 89

Email: [email protected]

SIRET: 842 567 391 00021

TVA Intracommunautaire: FR 38 842567391

Supplier

OrthoSupply Europe SAS

45 Boulevard des Belges

69003 Lyon, France

Tel: +33 4 78 12 34 56

Email: [email protected]

SIRET: 519 234 876 00017

TVA Intracommunautaire: FR 72 519234876

Order Details — Orthodontic Equipment and Materials

This Purchase Order is issued by the above-referenced Orthodontist practice located in France Lyon for the procurement of orthodontic supplies, equipment, and consumables required for the continued operation of the clinic. All items listed below are to be delivered to the practice premises in Lyon, France, in accordance with the terms and conditions specified herein.

Item No. Description Quantity Unit Unit Price (EUR) Total (EUR)
01 Self-ligating orthodontic brackets, 0.022" slot, stainless steel (per arch set) 40 sets 185.00 7,400.00
02 NiTi archwires, 0.014" to 0.021" x 0.025" (full range pack) 25 packs 92.50 2,312.50
03 Orthodontic elastics, 0.021" and 0.028" gauge, assorted colors (box of 500) 60 boxes 34.00 2,040.00
04 Ceramic orthodontic brackets, 0.022" slot, translucent (per arch set) 20 sets 245.00 4,900.00
05 Intraoral digital scanner replacement tips (compatible with 3Shape TRIOS 5) 10 units 310.00 3,100.00
06 Orthodontic bonding adhesive kit (primer, adhesive, light-cure) 30 kits 68.00 2,040.00
07 Clear aligner trays, thermoformable (per patient set, 20 trays) 15 sets 420.00 6,300.00
08 Orthodontic wax, patient comfort strips (box of 200) 20 boxes 18.50 370.00
09 Interproximal reduction (IPR) diamond strips, 0.010" and 0.015" 50 packs 45.00 2,250.00
10 Orthodontic forceps and pliers set (12-piece professional set) 4 sets 520.00 2,080.00

Subtotal: 34,792.50 EUR

VAT (TVA) 20%: 6,958.50 EUR

Delivery to Lyon, France: 145.00 EUR

Grand Total: 41,896.00 EUR

Terms and Conditions
  1. Delivery: All goods ordered under this Purchase Order shall be delivered to the Orthodontist practice at 12 Rue de la République, 69002 Lyon, France, within fifteen (15) business days of the date of acceptance. Delivery shall be made between 08:00 and 17:00 CET, Monday through Friday.
  2. Payment Terms: Payment shall be made by bank transfer (virement bancaire) within thirty (30) days of the date of invoice. The supplier shall issue the invoice in EUR, referencing this Purchase Order number PO-LYON-ORTHO-2025-0472. Bank details: IBAN FR76 3000 4000 0312 0001 2345 678, BIC BNPAFRPPXXX.
  3. Quality Assurance: All orthodontic materials and equipment supplied must comply with the European Medical Devices Regulation (EU) 2017/745 and applicable French health authority (ANSM) standards. The Orthodontist practice in Lyon, France, reserves the right to reject any items that do not meet the specified clinical standards or that arrive damaged.
  4. Warranty: The supplier warrants that all items are new, unused, and free from defects in material and workmanship. A minimum warranty period of two (2) years applies to all equipment items. Consumable items carry a ninety (90) day warranty against manufacturing defects.
  5. Regulatory Compliance: The supplier confirms that all orthodontic products are CE-marked and registered with the French National Agency for Medicines and Health Products Safety (ANSM). Full documentation, including certificates of conformity and batch traceability records, must accompany each delivery to the practice in Lyon.
  6. Intellectual Property and Branding: All branded orthodontic products shall be genuine manufacturer items. Counterfeit or unauthorized reproductions are strictly prohibited and will result in immediate termination of this Purchase Order and all associated agreements.
  7. Force Majeure: Neither party shall be liable for delays or failures in performance resulting from events beyond reasonable control, including but not limited to natural disasters, strikes, or government-mandated closures affecting the Lyon metropolitan area or the broader France region.
  8. Governing Law: This Purchase Order shall be governed by and construed in accordance with the laws of the French Republic. Any disputes arising from this order shall be subject to the exclusive jurisdiction of the Commercial Court of Lyon (Tribunal de Commerce de Lyon), France.
  9. Confidentiality: Both parties agree to maintain strict confidentiality regarding the terms of this Purchase Order, pricing structures, and any patient-related information that may be incidentally disclosed during the course of the orthodontic supply relationship in Lyon, France.
  10. Amendments: No modification to this Purchase Order shall be valid unless made in writing and signed by authorized representatives of both the Orthodontist practice and the supplier. Verbal agreements or email communications shall not constitute a valid amendment.
Acceptance and Authorization

By signing below, both parties acknowledge and agree to the terms of this Purchase Order for the procurement of orthodontic supplies and equipment for the practice of Dr. Marie-Louise Fontaine, Orthodontist, located in Lyon, France. This document constitutes a binding commercial agreement between the parties as of the date of the last signature.

For the Buyer (Orthodontist Practice):

Name: Dr. Marie-Louise Fontaine

Title: Lead Orthodontist / Practice Director

Signature: ___________________________

Date: ___________________________

For the Supplier:

Name: M. Philippe Durand

Title: Sales Director, OrthoSupply Europe SAS

Signature: ___________________________

Date: ___________________________

This Purchase Order was prepared for the Orthodontist practice of Dr. Fontaine, Lyon, France. Document reference: PO-LYON-ORTHO-2025-0472.

OrthoSupply Europe SAS — 45 Boulevard des Belges, 69003 Lyon, France — SIRET 519 234 876 00017

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