Dentist name: *
Surgery Name: *
Practice manager: *
Practice manager's Email: *
What brand of impression tray do you currently use?
Email Address: *
Surgery Address *
Phone Number: *
Please enter reference code if you have one:
Where did you hear about us?: *
Word of mouth
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Samples are 2 x medium dentate trays, upper and lower.
Please allow 2-4 weeks for delivery of your sample.
Sample packs are subject to availability and limited to 1 pack per dental office. Offer is limited to UK dentists only.
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