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Vista Comparison Pack Request Form
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Vista Dental has long been known for providing a superior line of products at VALUE PRICING. To order items either purchase online now, or call toll free (877) 418-4782 and mention code #WC121

For your free sample pack, fill out the fields below and click "SUBMIT." The pack contains 26 items, including Bendable Tips, Irrigating Tips, Pre-Bent Tips, Solution, Caries, Etch, Brushes, Probes, and Syringes.

*Practice Name:

  *Telephone:
*Your Name:
  *E-mail:
      Fax:
*Address:
     
Address2:
    View US Dealers
*City:
    View Canadian Dealers
*State:
    View International Dealers
*Zip:
     

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Has your office previously ordered Vista products?

Yes    No   

If "YES" have you ordered online?
Yes     No

Do you also order products through a dealer rep?
Yes   
No   

Does your dealer rep present Vista Dental products?
Often Sometimes Hardly Never

Which if any of these companies do you currently order product from? (Check all that apply)

Patterson
Benco
Henry Schein
Darby

May we mail you our Comparison Catalog showing additional savings?    Yes     No


 
Vista Dental - 2200 Northwestern Avenue - Racine, WI 53404 - For more information call 877-418-4782
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