Purchase Order Orthodontist in Netherlands Amsterdam –Free Word Template Download with AI
Amsterdam Dental Procurement Group B.V.
Herengracht 452, 1017 CA Amsterdam, Netherlands
KvK: 87654321 | VAT: NL861234567B01 | Tel: +31 20 555 0142
| Item # | Description | Category | Qty | Unit Price (EUR) | Line Total (EUR) |
|---|---|---|---|---|---|
| 01 | Custom-milled ceramic orthodontic brackets (Invisible Aligner System), per patient set | Orthodontic Equipment | 25 | € 185.00 | € 4,625.00 |
| 02 | Self-ligating orthodontic brackets, stainless steel, 0.022" slot, full arch (32 pcs) | Orthodontic Equipment | 40 | € 92.50 | € 3,700.00 |
| 03 | NiTi archwires, 0.014" to 0.022" gauge, 18-inch length, per box of 10 | Orthodontic Supplies | 60 | € 34.00 | € 2,040.00 |
| 04 | Orthodontic elastics, 0.021" and 0.028" diameter, assorted colours, per pack of 100 | Orthodontic Supplies | 120 | € 8.75 | € 1,050.00 |
| 05 | Digital intraoral scanner calibration kit and replacement tips for OrthoScan Pro | Orthodontic Technology | 2 | € 1,240.00 | € 2,480.00 |
| 06 | Professional orthodontic consultation and treatment planning session (per patient, 60 min) | Orthodontist Services | 50 | € 120.00 | € 6,000.00 |
| 07 | Orthodontic bonding adhesive and etchant gel, 50 ml each, per set | Orthodontic Supplies | 30 | € 42.00 | € 1,260.00 |
| 08 | Annual maintenance and calibration of orthodontic X-ray imaging unit (Panoramic + Cephalometric) | Orthodontist Services | 1 | € 2,850.00 | € 2,850.00 |
| 09 | Patient education materials and aftercare kits for orthodontic treatment in Netherlands Amsterdam clinics | Orthodontic Supplies | 200 | € 6.50 | € 1,300.00 |
| 10 | Emergency orthodontic repair service retainer (annual contract, up to 20 interventions) | Orthodontist Services | 1 | € 3,400.00 | € 3,400.00 |
| Subtotal: | € 28,705.00 | ||||
| VAT (21% – Netherlands): | € 6,028.05 | ||||
| Grand Total (EUR): | € 34,733.05 | ||||
All prices are in Euros (EUR). VAT is applied at the standard Dutch rate of 21% as per the Dutch Tax Administration (Belastingdienst) regulations. This Purchase Order is governed by the laws of the Netherlands.
- 1. Scope: This Purchase Order is issued by Amsterdam Dental Procurement Group B.V. for the procurement of orthodontic supplies, equipment, and professional orthodontist services to be delivered and performed at the Amsterdam Central Clinic located in Netherlands Amsterdam. All items and services listed above are to be provided by the named Orthodontist practice, Dr. Hendrik van der Berg, in full compliance with Dutch healthcare regulations and the Dutch Dental Association (Nederlandse Vereniging van Orthodontisten) standards.
- 2. Delivery: All physical orthodontic supplies and equipment must be delivered to the Amsterdam Central Clinic, Herengracht 452, 1017 CA Amsterdam, Netherlands, no later than 28 June 2025. The Orthodontist is responsible for ensuring that all orthodontic materials meet the European Union Medical Device Regulation (EU MDR 2017/745) and carry valid CE marking.
- 3. Service Delivery: Professional orthodontist consultation sessions, treatment planning, and emergency repair services referenced in this Purchase Order shall be scheduled in coordination with the Amsterdam Central Clinic's patient roster. The Orthodontist must maintain valid professional registration with the Dutch Health and Youth Care Inspectorate (IGJ) and carry adequate professional liability insurance.
- 4. Payment: Payment of the full Purchase Order amount of € 34,733.05 (including VAT) shall be made within thirty (30) calendar days of the date of this Purchase Order via bank transfer to the IBAN specified above. Late payments shall incur interest at the statutory Dutch rate as defined in Article 6:119a of the Dutch Civil Code.
- 5. Quality Assurance: The Orthodontist warrants that all orthodontic brackets, archwires, elastics, adhesives, and digital scanning components supplied under this Purchase Order are new, unused, and free from defects. Any defective orthodontic materials must be replaced within five (5) business days at no additional cost to the purchaser.
- 6. Confidentiality and Data Protection: All patient data processed during orthodontic consultations and treatment planning in Netherlands Amsterdam shall be handled in strict accordance with the General Data Protection Regulation (GDPR) and the Dutch Implementation Act (UAVG). The Orthodontist shall not disclose any patient information to third parties without explicit written consent.
- 7. Cancellation and Amendment: This Purchase Order may be amended or cancelled in writing by either party with a minimum of fourteen (14) days' prior notice. Cancellation after the delivery date for physical goods or after the commencement of orthodontist services shall be subject to a 15% administrative fee on the remaining balance.
- 8. Governing Law and Jurisdiction: This Purchase Order is governed by the laws of the Netherlands. Any disputes arising from or in connection with this Purchase Order shall be submitted to the competent court in Amsterdam, Netherlands.
For and on behalf of the Purchaser:
Amsterdam Dental Procurement Group B.V.
Name: _________________________Title: Procurement Director
Signature: _________________________
Date: _________________________
For and on behalf of the Orthodontist / Supplier:
Dr. Hendrik van der Berg, Orthodontist
Name: _________________________Title: Lead Orthodontist
Signature: _________________________
Date: _________________________ ⬇️ Download as DOCX Edit online as DOCX
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