Print AllPro Fax Form for Interdental Travel Brushes

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Interdental Travel Brushes

Part No.	Description	Unit Price	Quantity
T-1	Pink Interdental Travel Brush, fits space as small as .50 mm, 12 mm bristle length, Bag of 36	$ 19.50	_____ bag
T-2	Violet Interdental Travel Brush, fits space as small as .65 mm, 15 mm bristle length. Bag of 36	$ 19.50	_____ bag
T-3	Green Interdental Travel Brush, fits space as small as .75 mm, 18 mm bristle length. Bag of 36	$ 19.50	_____ bag
T-4	Blue Tapered Interdental Travel Brush, fits space as small as .80 mm, 13 mm bristle length. Bag of 36	$ 19.50	_____ bag
T-5	Orange Interdental Travel Brush, fits space as small as .80 mm, 18 mm bristle length. Bag of 36	$ 19.50	_____ bag

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