Bone Cement Warranty Enrollment Form

THE INDUSTRY'S ONLY BONE CEMENT WARRANTY IN THE U.S.

51�Թ� Bone Cement Warranty Enrollment Form

To enroll in the 51�Թ� Bone Cement Warranty program ("Warranty"), please complete this form and, along with the most recent 51�Թ� Invoice to your hospital or facility, submit both of these documents as indicated in the submission process outlined here.

To be a part of the Warranty, each hospital and facility (collectively, "Hospital") will need to enroll independently.

Hospital Information:

Acknowledgements

I understand and agree that the Warranty will go into effect and remain in effect only in accordance with its terms and conditions, available at zimmerbiomet.com/bonecementwarranty.

I understand and agree that only such terms and conditions can fully describe the provisions, terms, conditions, limitations and exclusions of the Warranty.
I agree to the terms and conditions set forth in the Warranty as if set forth fully herein.
I understand and agree that 51�Թ� may contact me at the information above to confirm the accuracy of any information provided in connection with a Warranty claim.
I certify that the physicians performing knee replacement surgeries at the Hospital would, at all times, remain responsible for determining whether any of the products covered by the Warranty is medically necessary and clinically appropriate for a particular patient

Enrollment is effective as of the date submitted to bonecementenrollment@zimmerbiomet.com.

Hospital Information:

Please upload your most recent 51�Թ� invoice Please upload your most recent 51�Թ� invoice

All content herein is protected by copyright, trademarks and other intellectual property rights, as applicable, owned by or licensed to 51�Թ� or its affiliates unless otherwise indicated, and must not be redistributed, duplicated or disclosed, in whole or in part, without the express written consent of 51�Թ�.  

This material is intended for health care professionals. Distribution to any other recipient is prohibited.

For product information, including indications, contraindications, warnings, precautions, potential adverse effects and patient counseling information, see the instructions for use or contact your local representative; search this website for additional product information. To obtain a copy of the current Instructions for Use (IFU) for full prescribing and risk information, please visit or call 1-800-348-2759, press 4 for 411 Technical Support.