AllPro Fax Form for Pedo Prophy Products

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Blank Fax Order Form

All-Dri™ Cotton Pads

All-Wipe™ Instrument Cleaner

Disposable Prophy Angles with
» Prophy Cups
» Brushes
» Pointed Polisher

Interdental Travel Brushes

Non-Latex Prophy Cups
» Latch Mandrel
» Screw Type
» Snap-On

Pedo Products

Pro-Paste™ Prophy Paste

Prophy Brushes
» Screw Type
» Snap-On
» Metal Base

Protect-A-Lens Protective Eyewear

Non-Latex Pedo Prophy Products Print version of this page
We offer Pedo Screw Type Prophy Cups, Pedo Snap On Prophy Cups and Pedo Disposable Prophy Angles. The Pedo Non-Latex Prophy Cups are available in Gross Packs of 144 or Clinic Bags of 100. The Pedo Disposable Prophy Angles are available in boxes of 100 or 500.

Part No.	Description	Unit Price	Quantity
106-P	Screw Type -- Pedo, Ribbed, Soft Hot Pink, Unscented, Gross Pack of 144	$ 22.25	a
106-P-1000	Screw Type -, Pedo, Ribbed, Soft Hot Pink, Unscented, Clinic Bag of 1,000	$ 134.00	a
306-P	Snap-On -- Pedo, Ribbed, Soft Hot Pink, Unscented, Gross Pack of 144	$ 18.65	a
306-P-1000	Snap-On -- Pedo, Ribbed, Soft Hot Pink, Unscented, Clinic Bag of 1,000	$ 119.00	a
804	Disposable Prophy Angle with Pedo, Soft Hot Pink, Ribbed Prophy Cups, Dispenser Box of 100	$ 42.00	a
804-R	Disposable Prophy Angle with Pedo, Soft Hot Pink, Ribbed Prophy Cups, Dispenser Box of 500	$ 188.00	a

Please complete the information below.

Name of dental office, school or dealer
Ordered By
Phone Number
Ship to Address
Bill to Address if different than Ship to Address
Dealer Name: (order cannot be placed unless Dealer designated. If necessary, please call AllPro at 1-800-243-2285 if you need the name of a dealer)
Dealer Purchase Order Number