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Supply Request Form

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  Please check this box if you are a new customer.
(New customers will receive an Information Kit)

Mailing Labels

  USPS Prepaid Mailing Labels

Packaging Materials

  Bubble Wrap
  Boxes - Holds 1-2 Cases
  Boxes - Holds 3-4 Cases

Appliance Information

  Color Guide
  Price List

Rx Sheets

  Clear ImageĀ® Aligners Rx
  Functional Appliance Rx
  GuardianĀ® Invisible Retainers Rx
  Herbst Appliance Rx
  Indirect Bonding Rx
  M.A.R.A Appliance Rx
  Metal Appliance Rx
  Positioner Appliance Rx
  Retainer Appliance Rx (includes Sagittal and Schwarz)
  Splint Appliance Rx

DVDs ($12 each plus shipping/handling)

  Banded Herbst - Dr. Rogers
  Crown Herbst - Dr. Davis
  Indirect Bonding - Dr. Dischinger


  Newsletters and General Appliance Information


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