Print AllPro Fax Form Prophy Brushes with Non Latex Bases

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Prophy Brushes

Part No.	Description	Unit Price (Bags)	Quantity
110-36	Screw Type Tapered Brushes, White Nylon Bristles, Non-Latex base, Bag of 36	$ 18.50	___ Bags
110-144	Screw Type Tapered Brushes, White Nylon Bristles, Non-Latex base, Bag of 144	$ 68.00	___ Bags
114-36	Screw Type Flat Brushes, White Nylon Bristles, Non-Latex base, Bag of 36	$ 18.50	___ Bags
114-144	Screw Type Flat Brushes, White Nylon Bristles, Non-Latex base, Bag of 144	$ 68.00	___ Bags
310-36	Snap-On Tapered Brushes, White Nylon Bristles, Non-Latex base, Bag of 36	$ 16.50	___ Bags
310-144	Snap-On Tapered Brushes, White Nylon Bristles, Non-Latex base, Bag of 144	$ 55.00	___ Bags
314-36	Snap-On Flat Brushes, White Nylon Bristles, Non-Latex base, Bag of 36	$ 16.50	___ Bags
314-144	Sanp-On Flat Brushes, White Nylon Bristles, Non-Latex base, Bag of 144	$ 55.00	___ Bags

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