Promotion Redemption

To redeem free goods, please submit a copy of your authorized dealer invoice using the form below. Offices receiving discounted group pricing are not eligible. Qualifying purchases must be on one invoice. When applicable, please indicate your choice of product. If no indication is made, available product will be sent at our discretion. Some promotional goods may not be available in Alaska or Hawaii; substitutions will be sent at our discretion. Promotional offer(s) subject to change.

Questions? Please call (1-416-332-2222)

SUBMITTER'S CONTACT INFORMATION:

DENTAL OFFICE INFORMATION:

INVOICE DETAILS:

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