Contact / Request Form

Please press the "Submit Request" button below to send us your request.

Your name and a valid email address are required.

 

Your Hospital/Organization Info

*Name:
 Hospital or Organization:
Address:

City:
State:
Zip:
*Email:
Phone:
Fax:

Product Info

Please tell us the type of products or services you are interested in:

 

Attendant Operated Television Systems
Attendant Operated Telephone Systems
Direct Billing
Group Purchasing (GPO) Agreement
Automated Television Systems
Lease/Purchase Television Options
Commercial Televisions
Television Mounts and Mounting Arms
Patient and Staff Education Systems
Satellite Entertainment and Education
Interactive and Computerized Systems
Closed Circuit and Security/Surveillance
Teleconferencing

Comments

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Privacy Statement: TB&A ensures your privacy. We will not sell or rent your name or any information you provide to us.