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Protect-A-Lens Disposable Protective Eyewear - Available in Box of 100

Part No. Description Unit Price
(Box of 100)		 Quantity
(Box)
900C Clear, Disposable Lenses $   56.00 _____ Box(es)
901S Smoke, Disposable Lenses $   56.00 _____ Box(es)
901C/S Variety Pack, Clear and Smoke, Disposable Lenses $   56.00 _____ Box(es)

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 
 		 

Prices Subject to Change Without Notice.  Prices last updated 04/06/2011 .  Dealer prices may vary.  
Prices listed do not include any discounts, shipping or handling charges that may apply to your order

AllPro, Inc., P.O. Box 733, Broomfield, CO  80038
Phone:  1.800.243.2285  Fax:  303.466.8965    
E-mail:  info@allprodental.com
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