Advantage Dental Products - Special Offer!

Welcome to our Ordering Page where you can take advantage of the special Dentaltown offer on Hemaseal & Cide with chlorhexidine (limit two bottles per customer). Remember, the first 400 responders will also receive Advantage Dental’s “bonus offers” – a FREE box of 25 “Hema” unidose samples and a FREE box of 20 temporary crown matrix buttons.

Simply complete the ordering information below. Offer ends June 1, 2008; please allow three weeks for shipping.

First Name:
Last Name:
Organization Name:
Phone number:
Fax number:
Email address:
Mailing Address:
City:
State:
Zip Code:
Country:
Number of Bottles:

Billing Information:	The same as Shipping Info
Billing Address:
Billing City:
Billing State:
Billing Zip Code:
Billing Country:

Credit Card Type:
Credit Card Number:
Expiration Date:
CVV:

Shipping and Handling charges of $7.00 apply to all orders.