Equipment Order Information If you are organizing a Special Olympics Healthy Hearing event and are ordering Bio-Logic otoacoustic emission (OAE) units and Biocoustics, Inc. tympanometers and audiometers, please take note of the following additional information. (Print the Microsoft Word (374K, updated 8 March 2008 ) version of the order form to have a written copy of these details.) For all communications concerning your equipment request please use hearingequipment@specialolympics.org and/or fax number +1 (202) 824-0200; please DO NOT contact the manufacturers directly. Important Information If you have planned multiple events, please complete a form for each event. Completed forms must be submitted prior to the "need by" date, as follows: U.S. only — 60 days International (including Caribbean & Canada) — 90 days We cannot guarantee equipment fulfillment for submissions outside of these timeframes. Upon submission, you will receive 2 confirmations, as follows: Conf # Expected Timeframe Information Included   1 Immediate (same day) after submission thank you and acknowledge receipt   2 5 to 10 (U.S.) & 20 to 30 (intl.) days prior to "need by" date provide actual shipping information — ship to and return In case of equipment emergency: Please notify Mrs. Raynell Redd, Manager for Healthy Athletes Initiatives [Healthy Hearing & Fit Feet] on +1 (202) 824-0230 or rredd@specialolympics.org. Details concerning equipment, shipping and insurance Please allow time to charge and do behavioral checks on equipment before use. All units are to be returned promptly as designated in the final confirmation of your request. Bio-Logic and Biocoustics, Inc. (the manufacturers) have donated to Special Olympics the shipping costs for units being shipped between venues. Special Olympics pays for units being shipped back to the manufacturers only. If you are instructed to ship units between venues, air bills are included with the equipment. Please DO NOT discard enclosed air bills and DO hold on to the original shipment packaging. If you are returning equipment to the manufacturers, shipping information (i.e., carrier/account #) will be included with your final confirmation. Equipment being shipped to the manufacturers should be addressed "To: Special Olympics Equipment Return" using the appropriate address below:         BIO-LOGIC, Inc.         BIOCOUSTICS, Inc.   Address   Equipment   Address   Equipment One Bio-logic Plaza Mundelein IL 60060 +1 (800) 323-8326 • Otoacoustic emmissions units (Station 2) Biocoustics Instruments, Inc. 7525A Connelley Drive Hanover, MD 21076 (USA) +1 (410) 995-6131 • GSI 37 Tympanometer w/ reusable eartips • GSI 17 Audiometer w/ GSI Carry Case and audiocups (Stations 3 & 4) Carnets (documentation used to readily move equipment with minimal customs issues) are used for Bio-Logic non-U.S. shipments. There are 6 OAE units to each carnet; these units must stay together and the carnet document must remain with the shipment; please do not discard or remove document from the packaging. Insurance Information: While in use at events and during transport, Bio-Logic, Biocoustics, Inc. and Special Olympics jointly carry insurance to cover hearing equipment for property damage or loss and damages due to business activities. It is not necessary to acquire additional coverage per event. As an FYI, per unit equipment value is listed below. Value of Equipment - USD   Bio-Logic OAE $2,604.00   GSI 17 Audiometer $1,035.00   GSI 37 Tymp $2,400.00   Audio cups $277.00   GSI Carry Case $128.00   power cord $73.05