Please enter your personal information to receive a quote by email. If you would like an additional copy sent by another method please select below.
(
*
) required field.
Include additional copy by:
Please select...
Email only
Fax
Phone
Mail
Contact Name
*
Phone Number
Fax #
Email
*
Email #2 (Optional)
Expected Order Date? mm/dd/yy
Expected Payment Method?
Please select...
VISA
MasterCard
American Express
Company Check
COD
Bank Wire Transfer
University PO Number
Intended Usage ?
Please select...
General Dentist
Periodontist
University
Military
Research
Other
How did you hear about us?
Please select...
Magazine Ad
Tradeshow
Florida Probe Website
Google
Email
Flier/Mailer
Dental Colleague
Other
Enter desired quantity:
Full System
FP Software (Upgrade)
Software only (+1 FP-Dongle key)
FP Parallel Dongle Key (Extra Workstation)
FP USB Dongle Key (Extra Workstation)
Extra Pocket Depth Handpieces
Extra Disk Handpieces
Extra Stent Handpieces
Extra CEJ Handpieces
PD/CEJ Tips (pack of 3)
Disk/Stent Tips (pack of 3)
PD/CEJ Short Tips (pack of 3)
PD/CEJ Long Tips (pack of 3)
Free Slide Set
Free Powerpoint CD-Rom
Free Educational Poster Series CD-Rom
FP Docking Station
Mailing Address
*
Special Requests:
***Please note that prices outside the U.S. may be higher secondary to export duties/taxes, shipping costs, or other fees.
