Welcome to Vista Dental

Schedule

View Index

EZ-Lock™ Sample Request Form

More versatile than Sani-Tip™, or any other disposable air/water syringe tip!

The EZ-Lock™ syringe tip will work with the Sani-Tip™* adapter. If you do not have an adapter, Vista Dental will give you one FREE (a $16.75 value) with your first purchase of EZ-Lock™ tips. If you need an adapter and would like to make your first purchase, call toll free (877) 418-4782 and mention code #WEZ101. If you don't need an adapter, you can order EZ-Lock™ online now by clicking HERE.

For your free sample pack of EZ-Lock™ tips, fill out the fields below and click "SUBMIT." We'll mail you your EZ-Lock™ adapters promptly.

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

Do you already use disposable Air/Water Syringe Tips?
Yes No

Do you use Sani-Tip™*?
Yes No

Number of Air/Water Syringes Per Operatory?
1 2 3 4

Has your office previously ordered Vista products?
Yes No

What type of Air/ Water Syringe do you want to sample the EZ-Lock with?
Adec Style
Press Ring Style
Engle-Macro Style
DentalEZ Style

Are you a dental distributor? Yes No

*Sani-Tip is not a registered trademark of Vista Dental.

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