AllPro Fax Form for Disposable Prophy Angles with Non Latex Prophy Cups

AllPro Fax Order Forms

ProphEase™ Disposable Prophy Angles with
Non-Latex Prophy Cups Print version of this page

Individually wrapped disposable prophy angles with non-latex prophy cups are available in dispenser boxes of 100 or 500.

Part No.	Description	Unit Price	Quantity
700	ProphEase™ Disposable Prophy Angle with Ultra Soft, Hot Pink, Square Ribbed and Webbed Prophy Cups, Dispenser Box of 100	$ 50.00	a
700-R	ProphEase™ Disposable Prophy Angle with Ultra Soft, Hot Pink, Square Ribbed and Webbed Prophy Cups, Dispenser Box of 500	$ 227.00	a
701	ProphEase™ Disposable Prophy Angle with Ultra Soft, Hot Pink, Square Ribbed and Webbed Prophy Cups, Dispenser Box of 100	$ 50.00	a
701-R	ProphEase™ Disposable Prophy Angle with Ultra Soft, Hot Pink, Square Ribbed and Webbed Prophy Cups, Dispenser Box of 500	$ 227.00	a
703	ProphEase™ Disposable Prophy Angle with Firm, Yellow, Square Ribbed and Webbed Prophy Cups, Dispenser Box of 100	$ 50.00	a
703-R	ProphEase™ Disposable Prophy Angle with Firm, Yellow, Square Ribbed and Webbed Prophy Cups, Dispenser Box of 100	$ 227.00	a
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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