• XYLIMELTS • 100% XYLITOL • PERIO KIT • Dental Offices Order Form • Effective August 6, 2014 CODE PRODUCT UNIT PRICE QTY. TOTAL XYLIMELTS – XYLITOL IN TIME-RELEASE ADHERING PASTILLES ORA-XYLIMELTS-40 6: $9.99 Xylimelts – 40 pastilles per pack Discount on regular price 20: $8.99 48: $7.99 10% 20% 100% XYLITOL DISPLAY – 24 PACKS OF GUM/PASTILLES XP-XDT-GM-24 24 packs of 20 gum (peppermint) 1: $62.16 XP-XDT-GF-24 24 packs of 20 gum (fruit) 1: $62.16 XP-XDT-MM-24 24 packs of 60 pastilles (peppermint) 1: $77.76 XP-XDT-MF-24 24 packs of 60 pastilles (fruit) 1: $77.76 XP-XDT-GM-12/MM-12 12 packs of 20 gum and 12 packs of 60 pastilles (peppermint) 1: $69.96 XP-XDT-GF-12/MF-12 12 packs of 20 gum and 12 packs of 60 pastilles (fruit) 1: $69.96 1 FREE WHEN YOU BUY 3! Promotion DISPENSER – 200 SAMPLES XP-XGMF-D200 Gum Single Pack (100 fruit and 100 peppermint) 1: $29.99 XP-XMMF-D200 Pastilles Single Pack (100 fruit and 100 peppermint) 1: $29.99 BOTTLE – SMALL FORMAT XP-XGMBT-50 50 gum bottle (peppermint) 1: $5.17 XP-XGFBT-50 50 gum bottle (fruit) 1: $5.17 XP-XMMBT-130 130 pastilles bottle (peppermint) 1: $5.17 XP-XMFBT-130 130 pastilles bottle (fruit) 1: $5.17 Promotion 1 FREE WHEN YOU BUY 5! BOTTLE – LARGE FORMAT 6: $14.99 12: $13.99 30: $11.99 XP-XGMBT-180 180 gum bottle (peppermint) XP-XGFBT-180 180 gum bottle (fruit) 6: $14.99 12: $13.99 30: $11.99 XP-XMMBT-400 400 pastilles bottle (peppermint) 6: $14.99 12: $13.99 30: $11.99 XP-XMFBT-400 400 pastilles bottle (fruit) 6: $14.99 12: $13.99 30: $11.99 7% 20% 6: $33.99 12: $29.99 Discount on regular price BAG 1: $35.99 XP-XGMB-500 500 gum bag (peppermint) XP-XGFB-500 500 gum bag (fruit) 1: $35.99 6: $33.99 12: $29.99 XP-XMMB-1000 1000 pastilles bag (peppermint) 1: $35.99 6: $33.99 12: $29.99 XP-XMFB-1000 1000 pastilles bag (fruit) 1: $35.99 6: $33.99 12: $29.99 6% 17% 60: $33.99 100: $30.99 Discount on regular price CPX-CPS-IMPLANT-# ORAL SCIENCE PREMIUM PERIO KIT CPX-KIT-PERIO Oral Science Premium Perio Kit Curaprox Toothbrushes 5460 «Ultra-Soft» & 1009 «Single», Curaprox interdental brushes, X-PUR Remin toothpaste, 5 plaque finder tablets, 30: $36.99 transportation bag, personalized instruction card. Plastified Instruction Card with: Standard message Discount on regular price SHIPPING – FREE with orders of $500 and more Personalized message Logo insertion 8% 16% $12.00 TOTAL For the complete catalog of the products, contact your Oral Science representative. For orders placed by fax, please send both sides of the order form if applicable. Thank you! UPDATED AUGUST 6, 2014. XP-OF-EN V1 08/14 • ORAL RINSES • TOOTHPASTE AND GELS • WHITE VARNISH • Dental Offices Order Form • Effective August 6, 2014 CODE PRODUCT UNIT PRICE QTY. TOTAL ORAL RINSES 0.05% Opti-Rinse (473 ml) – Sodium fluoride XP-NAFOR-0.05 12: $6.99 36: $6.49 7% 14% 12: $7.99 36: $7.49 72: $6.99 6% 12% 24: $10.99 48: $9.99 8% 17% 48: $9.99 72: $8.99 9% 18% Discount on regular price 0.2% Opti-Rinse (473 ml) – Sodium fluoride XP-NAFOR-0.2 Discount on regular price 0.12% Chlorhexidine (475 ml) XP-CHX-475ML 12: $11.99 Discount on regular price 24: $10.99 0.63% SnF2 Rinse Concentrate (283,5 ml) – Stannous fluoride XP-ORCX-0.63 Discount on regular price 72: $5.99 TOOTHPASTE AND GELS Remin Toothpaste (70g) – Nano Medical Hydroxyapatite XP-REMIN 12: $13.99 Discount on regular price 72: $11.99 108: $9.99 7% 14% 28% 24: $9.99 1.1% NaF Gel (120 ml) – Sodium fluoride XP-NAFGX-1.1-120 36: $12.99 Discount on regular price 12: $19.99 1.1% NaF Gel (475 ml) – Sodium fluoride XP-NAFGX-1.1-475 Discount on regular price 24: $9.99 0.4% SnF2 Gel (120 ml) – Stannous fluoride XP-SNFGX-0.4 Discount on regular price 48: $8.99 72: $7.99 10% 20% 24: $17.99 36: $15.99 10% 20% 48: $8.99 72: $7.99 10% 20% 5% NEUTRAL NAF WHITE VARNISH XP-WV25-100 Box of 100 unidoses – 0.25 ml 1: $160.00 3: $133.00 XP-WV50-100 Box of 100 unidoses – 0.50 ml 1: $160.00 3: $133.00 XP-WV25/50-100 Mixed Box: 50 unidoses – 0,25 ml and 50 unidoses – 0,50 ml 1: $160.00 3: $133.00 17% Discount on regular price ACID/ALKALINE LEVELS 1: $14.99 pH Test paper – Roll of 15 feets GH-PHTEST SHIPPING – FREE with orders of $500 and more $12.00 TOTAL DENTAL OFFICE’S INFORMATION NAME: PAYMENT INFORMATION DENTAL OFFICE: VISA SHIPPING ADDRESS: MASTERCARD NUMBER: CITY: PROVINCE: TEL: FAX: ZIP CODE: EXP: SIGNATURE: TO ORDER TELEPHONE: 1 888 442.7070 FAX: 1 450 442.3156 For the complete catalog of the products, contact your Oral Science representative. For orders placed by fax, please send both sides of the order form if applicable. Thank you! UPDATED AUGUST 6, 2014. XP-OF-EN V1 08/14
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