Please fill out and print the form below. You can mail the order form to us at the address at the bottom of this page.

Qty/Doz.


Item#


Description

Pricing

6 Dozen

12 Dozen

38383

Soft/Adult

.008” DUPONT TYNEX® nylon, 5 row - 53 tuft

$85.00

$150.00

38384

Gentle/Adult

.006” DUPONT TYNEX® nylon, 5 row - 53 tuft

$85.00

$150.00

38385

Soft/Compact

.008” DUPONT TYNEX® nylon, 5 row - 38 tuft

$85.00

$150.00

38386

Gentle/Compact

.006” DUPONT TYNEX® nylon, 5 row - 38 tuft

$85.00

$150.00

30100

Patient instructions
and convenient re-order form

No Charge

Introductory Offer    

     3 Dozen $50.00

This “special offer” is being made available to introduce you to the Improve® Toothbrush so that your office staff and selected paitients.... can expierence the difference!

Imprinting Information

  1. Imprinting Cost - $12/Gross (Per Style)
  2. All imprint orders must be prepaid.
  3. Shipping time - Approx. 3-4 weeks.
  4. 28 character maximum

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Payment Method:  Master Card Visa  Discover  Am-Ex

Card #

Exp. Date

 

Sec. Code

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Date

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