Purchase Order Orthodontist in South Africa Cape Town –Free Word Template Download with AI
Orthodontic Practice Supply Procurement
South Africa Cape Town
PO No: CT-ORTHO-2025-0472
Buyer (Orthodontist Practice)
Atlantic Ridge Orthodontics (Pty) Ltd
124 Sea Point Promenade
Sea Point, Cape Town, 8005
Western Cape, South Africa
Tel: +27 21 430 5567
Email: [email protected]
VAT No: 4920187734
Reg No: 2019/448210/07
Supplier
ProDental Supplies SA (Pty) Ltd
Unit 7, 45 Bree Street
Gardens, Cape Town, 8001
Western Cape, South Africa
Tel: +27 21 424 8890
Email: [email protected]
VAT No: 4710553321
Order Details
PO Date: 14 June 2025
Required Delivery Date: 28 June 2025
Delivery Address: 124 Sea Point Promenade, Sea Point, Cape Town, 8005, South Africa
Payment Terms: Net 30 Days
Currency: South African Rand (ZAR)
Authorised By
Dr. Thandiwe Nkosi, BDS (Hons), MOrth (UCT)
Principal Orthodontist
HPCSA Reg No: 0048217
Practice Manager: Mr. James van der Merwe
| Item No. | Description | Qty | Unit | Unit Price (ZAR) | Line Total (ZAR) |
|---|---|---|---|---|---|
| 01 | Self-ligating orthodontic brackets, 0.022 inch slot, stainless steel (per arch set of 28) | 40 | Sets | 1,850.00 | 74,000.00 |
| 02 | NiTi archwires, 0.014 inch, 18-inch length, heat-activated (per pack of 10) | 25 | Packs | 620.00 | 15,500.00 |
| 03 | Orthodontic elastic ligatures, 0.010 inch, clear (per box of 500) | 60 | Boxes | 185.00 | 11,100.00 |
| 04 | Ceramic orthodontic brackets, 0.022 inch slot, aesthetic (per arch set of 28) | 20 | Sets | 2,450.00 | 49,000.00 |
| 05 | Orthodontic bonding agent kit (primer, adhesive, light-cure composite) – per kit | 30 | Kits | 340.00 | 10,200.00 |
| 06 | Interproximal reduction strips, 0.05 mm, per box of 200 | 15 | Boxes | 275.00 | 4,125.00 |
| 07 | Orthodontic headgear, adjustable, with facebow and cervical pad (per unit) | 8 | Units | 1,250.00 | 10,000.00 |
| 08 | Digital intraoral scanner tip replacements, compatible with 3Shape TRIOS 5 (per pack of 5) | 4 | Packs | 3,800.00 | 15,200.00 |
| 09 | Orthodontic wax, patient comfort, 10 g tubes (per box of 50) | 10 | Boxes | 195.00 | 1,950.00 |
| 10 | CBCT imaging calibration phantoms for orthodontic diagnostic use (per unit) | 2 | Units | 8,500.00 | 17,000.00 |
Subtotal (excl. VAT):R 208,075.00
VAT @ 15% (South Africa):R 31,211.25
Delivery & Handling (Cape Town metro):R 1,500.00
GRAND TOTAL (incl. VAT):R 240,786.25
Terms and Conditions of Purchase
- This Purchase Order is issued by Atlantic Ridge Orthodontics (Pty) Ltd, a registered orthodontic practice operating in South Africa Cape Town, and constitutes a binding request for the supply of orthodontic materials and equipment as itemised above.
- All goods must comply with the South African Health Products Regulatory Authority (SAHPRA) standards and the Medical Devices Regulations (GN R 1030 of 2017) applicable to orthodontic devices used by a registered Orthodontist in South Africa.
- Delivery shall be made to the practice premises at 124 Sea Point Promenade, Sea Point, Cape Town, 8005, South Africa, between 08:00 and 16:00 on a business day, no later than 28 June 2025. Late delivery beyond five (5) business days entitles the Orthodontist practice to cancel this Purchase Order without penalty.
- Payment shall be made via electronic funds transfer (EFT) to the supplier's designated bank account within thirty (30) calendar days of receipt of a valid tax invoice and confirmed delivery of all line items.
- All orthodontic consumables must carry a minimum shelf life of eighteen (18) months from the date of delivery. The supplier warrants that all brackets, wires, and bonding agents are new, unopened, and manufactured in accordance with ISO 13485 medical device quality management standards.
- The supplier shall provide full traceability documentation, including batch/lot numbers, for all orthodontic items supplied, in compliance with South African medical device traceability requirements.
- Any defective or non-conforming orthodontic materials discovered within ninety (90) days of delivery shall be replaced at the supplier's sole cost, including return freight within the Cape Town metropolitan area.
- This Purchase Order is governed by the laws of the Republic of South Africa. Any disputes arising from this order shall be subject to the exclusive jurisdiction of the High Court of South Africa, Cape Town Division.
- The supplier acknowledges that the goods are procured for use by a registered Orthodontist (HPCSA-registered) in the provision of orthodontic treatment to patients in South Africa Cape Town and the surrounding Western Cape region.
- Neither party may assign this Purchase Order without the prior written consent of the other party. All intellectual property and product trademarks remain the property of the respective manufacturers.
Authorised Signatory – Buyer
Dr. Thandiwe Nkosi, BDS (Hons), MOrth (UCT)
Principal Orthodontist, Atlantic Ridge Orthodontics (Pty) Ltd
HPCSA Reg No: 0048217
Signature: ___________________________
Date: 14 June 2025
Authorised Signatory – Supplier
Mr. Pieter Botha
Managing Director, ProDental Supplies SA (Pty) Ltd
Cape Town, South Africa
Signature: ___________________________
Date: _______________
⬇️ Download as DOCX Edit online as DOCXCreate your own Word template with our GoGPT AI prompt:
GoGPT