Purchase Order Orthodontist in Italy Rome –Free Word Template Download with AI
Orthodontic Equipment & Supplies Procurement — Rome, Italy
PO No. IT-ROM-2025-04782
Purchasing Entity
Studio Odontoitrico Roma Centro S.r.l.
Via del Corso, 142
00186 Roma (RM), Italy
VAT: IT01234567890
Phone: +39 06 4567 8901
Email: [email protected]
Vendor / Recipient
Dr. Marco Bellini, Orthodontist
Clinica Ortodontica Bellini
Via Nazionale, 87
00184 Roma (RM), Italy
VAT: IT09876543210
Phone: +39 06 8765 4321
Email: [email protected]
Order Details
PO Date: 15 June 2025
Delivery Date: 30 June 2025
Payment Terms: Net 30 days
Delivery Location: Rome, Italy
Incoterms: DAP Rome
Reference: Annual Orthodontic Supply Contract 2025
Line Items — Orthodontic Products for Clinical Use in Rome, Italy
| # | Description | SKU / Code | Qty | Unit Price (EUR) | Total (EUR) | Notes |
|---|---|---|---|---|---|---|
| 1 | Self-ligating orthodontic brackets, ceramic, upper and lower arch (full set per patient) | ORT-CER-2025 | 45 | 185.00 | 8,325.00 | For Dr. Bellini's orthodontic practice in central Rome |
| 2 | NiTi archwires, 0.014" to 0.022" rectangular, 18-inch length | ORT-NITI-1422 | 200 | 12.50 | 2,500.00 | CE-marked, compliant with EU Regulation 2017/745 |
| 3 | Orthodontic elastics, 0.021" and 0.028" gauge, assorted colors | ORT-ELAS-021 | 500 | 3.20 | 1,600.00 | Packaged in 50-unit dispensers |
| 4 | Intraoral digital scanner, 3D imaging system with software license | ORT-SCAN-3D | 1 | 12,400.00 | 12,400.00 | Installation and training at Rome clinic included |
| 5 | Orthodontic bonding kit (adhesive, etchant, curing light, tips) | ORT-BOND-KIT | 30 | 95.00 | 2,850.00 | For use by Dr. Bellini and two assistant orthodontists |
| 6 | Clear aligner trays, BPA-free thermoplastic, custom-molded | ORT-ALGN-CLR | 120 | 48.00 | 5,760.00 | Manufactured per patient records from Rome clinic |
| 7 | Orthodontic forceps, pliers, and separation scissors (professional set) | ORT-TOOLS-SET | 4 | 320.00 | 1,280.00 | Surgical-grade stainless steel, sterilizable |
| 8 | Patient instruction kits (orthodontic care guides, wax, floss threaders) | ORT-PAT-KIT | 100 | 8.50 | 850.00 | Bilingual: Italian and English, for Rome patient base |
| Subtotal | 35,565.00 EUR |
| VAT (22% — Italian Standard Rate) | 7,824.30 EUR |
| Delivery & Installation (Rome, Italy) | 350.00 EUR |
| Grand Total | 43,739.30 EUR |
Terms and Conditions
- This Purchase Order is issued by Studio Odontoitrico Roma Centro S.r.l. for the procurement of orthodontic equipment, instruments, and consumable supplies to be delivered to the orthodontic practice of Dr. Marco Bellini, located in Rome, Italy. All items listed herein are intended for clinical orthodontic use within the metropolitan area of Rome.
- The vendor shall ensure that all orthodontic products comply with the European Union Medical Devices Regulation (EU) 2017/745 and carry valid CE marking prior to delivery in Italy. Documentation proving conformity shall accompany each shipment.
- Delivery shall be made to the orthodontist's clinic at Via Nazionale, 87, 00184 Roma (RM), Italy, no later than 30 June 2025. The vendor is responsible for all transportation, insurance, and handling costs within the Rome metropolitan area.
- Payment shall be made via bank transfer (bonifico bancario) to the vendor's designated Italian bank account within thirty (30) calendar days of receipt of a valid tax invoice (fattura elettronica) issued in accordance with Italian Revenue Agency (Agenzia delle Entrate) electronic invoicing requirements.
- All orthodontic equipment and instruments are warranted for a minimum of twenty-four (24) months from the date of delivery in Rome. The vendor shall repair or replace any defective orthodontic components at no additional cost to the purchasing entity.
- The intraoral digital scanner (Item 4) shall be installed, calibrated, and accompanied by a minimum of eight (8) hours of on-site training for Dr. Bellini and his orthodontic team at the Rome clinic. Training materials shall be provided in Italian.
- Any partial delivery or substitution of orthodontic items requires prior written approval from the purchasing entity. Unauthorized substitutions of orthodontic brackets, archwires, or aligner materials will result in rejection of the affected line items.
- This Purchase Order is governed by the laws of the Italian Republic. Any disputes arising from this orthodontic supply agreement shall be resolved by the competent courts of Rome, Italy.
- The vendor acknowledges that all orthodontic products delivered under this Purchase Order are subject to the professional judgment and clinical protocols of the orthodontist in Rome. The vendor assumes no liability for clinical outcomes resulting from the use of the supplied orthodontic materials.
- This document constitutes a binding Purchase Order upon signature by both parties. Amendments to the scope, quantities, or delivery schedule of orthodontic goods must be documented in a written addendum signed by both the purchasing entity and the orthodontist's representative.
Authorized by (Purchasing Entity)
Dr. Elena Conti, Director
Studio Odontoitrico Roma Centro S.r.l.
Date: _______________
Accepted by (Orthodontist / Vendor)
Dr. Marco Bellini, Orthodontist
Clinica Ortodontica Bellini, Rome, Italy
Date: _______________
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