VECTOR III ORDER FORM

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1 VECTOR III ORDER FORM VECTOR III SPACEMAKERS U. S. Pat. # Item # SPA 12 12mm box of 5 for $98.50 Item # SPA 16 16mm box of 5 for $98.50 Item # SPA 20 20mm box of 5 for $98.50 Item #SPA ASST. Assortment of 2each 12mm, 2 each 16mm, and 1 each 20mm for $98.50 HSL H Slingties 1 pkg. of $ pkgs. of $ pkgs. of $55.00 H96 H Slingties 1 pkg. of $ Pkgs. of $ pkgs. of $55.00 AAH ADD-A-HOOK package of 10 $17.90 VEW X-ray/headplate/cephalometric viewer 10 X volt Angled for desk tracing Wall mount option Stand up on desk (feet included)1 $65.00 or 2 for $ VECTOR III INTERACTIVE SPRING SYSTEM U. S. Pat # Item # VIII $ per patient (please see the VECTOR III INTERACTIVE SPRING SYSTEM booklet for more details). Must be custom ordered for an individual patient. Customary additional patient fee is $ CCS COTTON COMFORT STRIPS (for relief from poking wires) 20 pkgs. 10 strips per pack $17.00 CCK COTTON COMFORT KIT easy, cost effective, how to kit with all the supplies, including scissors, for the office staff to make cotton comfort strips, (10 per package). $25.00 VECTOR III Duo-Tee Springs Removable Appliances U. S. Pat # & U. S.Method Pat. #6,935,859 Must be ordered with a lab slip filled in completely for the individual patient, this is an Rx. This must be accompanied by a good stone model so the appliance can be made directly from the model. The model will not be returned to you. If you need more lab slips please just let us know, or download from our website. Lab fee per appliance $ VECTOR III SECOND MOLAR WIRES Item # 16X16U or # 16X16L 1 pkg. Upper or Lower.016X.016 Mid to pre-detail Second Molar wires 5 $37.50 Item #16X22U or 16X22L 1 pkg. Upper or Lower.016 X.022 Ultra Archwire Target Shape $37.50* VECTOR III ULTRA ARCHWIRE TARGET SHAPE STARTER KIT $160. (SAVE $25.) 2 UPPER PKS. (5ea.) & 2 LOWER PKS. (5ea.) 1 ADJUSTMENT PLIER (THREE NOSE) TNP $35. NOTE* Use #220 Three Nose Plier to customize/adjust the archwidth for an individual patient.

2 VECTOR III Classics Wires U. S. Pat. # Item # C-SK-40 Sampler $ contains: 20 Flat Series wires & 20 Reverse Curve Series wires 2 each upper and lower Minus, 2 each upper and lower Plus and 6 each upper and lower Standard of each type, Flat and Reverse Curve. Item # C-MK-80 Master $ Flat Series wires & 40 Reverse Curve Series wires 5 each upper and lower Minus, 5 each upper and lower Plus and 10 each upper and lower Standard of each type, Flat and Reverse Curve. WHEN ORDERING VECTOR III CLASSICS WIRES PLEASE SPECIFY ; UPPER OR LOWER & MINUS, STANDARD OR PLUS. 1 re-order package of 5 each Flat Series $ $ Item #FLM Flat Lower Minus Item #FLS Flat Lower Standard Item #FLP Flat Lower Plus Item # FUM Flat Upper Minus Item # FUS Flat Upper Standard Long Item # FUP Flat Upper Plus Long 1re-order package of 5 each Reverse Curve Series $ $ Item # RCLM Reverse Curve Lower Minus Item # RCLS Reverse Curve Lower Standard Item # RCLP Reverse Curve Lower Plus Item # RCUM Reverse Curve Upper Minus Item # RCUS Reverse Curve Upper Standard Item # RCUP Reverse Curve Upper Plus Always use.018 slot bracket when using VECTOR III CLASSICS WIRES TWO OPTIONAL HYGIENIC STORAGE BOXES WITH HINGED LIDS, each box for a series of wires contains 6 smaller boxes inside with an I.D. label on ( tight fitting ) lids. Item # $20.00 for Flat Series Item $20.00 for Reverse Curve Series Item # $35.00 for both boxes Helpful hint: The tight fitting lids may be placed under the small boxes with the labels showing through the clear bottom for easy and fast access during clinical hours. Put the lids back on after hours for hygienic storage. #SRTA STIGMATA STIGMATA OF RESPIRATORY TRACT ALLERGIES with CD $ #NJAS VECTOR III Textbook ORTHODONTIC PRINCIPLES, NOT JUST ANOTHER SPRING, BEYOND BIO-MECHANICS TO BIO\ANALYTIC MECHANICS Volumes I & II in print & on CD $ SEMINAR SPECIAL $ Suggested starter products for fixed appliances: VECTOR III Classics Wires Item # CSK $285.00, 20 Flat Series, 20 Reverse Curve Series. VECTOR III Spacemakers Item # $98.50 assortment of 2 each 12 MM, 2each 16 MM, and 1 each 20 MM VECTOR III Add-A-Hook Item # $17.90 VECTOR III H Slingties Package of $12.00 VECTOR III Textbook Not Just Another Spring, Beyond Bio-Mechanics to Bio\Analytic Mechaincs $ VECTOR III.016 X.016 Upper & Lower &.016 X.022 Upper & Lower 1 pkg. ea. $ VECTOR III Complete Plier Kit $ *Optional Hygienic plastic boxes for VECTOR III Classics Wires Item $35.00 *Subject to shipping and handling

3 CIK-R VECTOR III Custom Instrument Kit $ SAVE $7.00 & RECEIVE FREE CASE USE:Removable Appliances Adjustments Includes: #139 bird beak - #70x optical #110 Howe - Mosquito forcep CPK-F VECTOR III Complete Plier Kit $ SAVE $13.00 & RECEIVE FREE CASE USE:Fixed & removable appliances Includes: #139 bird beak - #70x optical Director/Scaler Gothca Tweezer Mosquito forcep & #110 Howe Molar tube tweezer CPKC VECTOR III Complete Plier and Instrument Kit including Cutter $ SAVE $28.00 & RECEIVE FREE CASE Includes: CPK-F VECTOR III Custom Instrument Kit Plus:CLWC Ligature and hard wire cutter (CARBIDE $65.00 PLIERS** CBB Custom # 139 Bird Beak plier** CFO Custom #70x Fine optical plier** CHP Custom #110x Howe plier** JBK Jarabak Plier** TWD Tweed Plier** WEI Weingard Plier** TNP #200 Three Nose Plier Satin finish** INSTRUMENTS* CDS Director/Scaler (custom design)* **1- $35.00 ea. 3- $25.00 ea. 12-$20.00 ea. * 1- $12.00 ea. CGT Gotcha tweezer (custom fine design bracket tweezer)* 3- $ ea. CMF Mosquito forceps (new design)* 12- $ 8.00 ea. MTB Molar tube and bracket tweezer* VSM Very small 3½ mosquito forceps extra fine tip DCP Deluxe Cotton Plier Serrated 6 1/2 DPN Deluxe Plaster Nipper Stainless Steel 8 $43.00 ea. 70XF 70X Fine German Stainless Steel Orthodontic Plier. Ergonomic size and shape for control, feel and comfort. Great for smaller, medium or large hands. Extra fine strong tip accomodates smaller areas for more controlled adjustments and bending. Easier bending and adjusting for smaller size wires including Nitinol types. 1-$ $45.00 Ea. 12-$40.00 Ea. CMFX Surgical grade stainless steel & custom workmanship, satin finish Mosquito forceps 4 ¾ with extra fine tip with German connection CMFT Mathieu 5 fine tip CBRT Boynton 4 3/4 regular tip CMRT Mathieu 5 regular tip 1- $18.00 ea. 3- $12.00 ea. 12- $8.00 ea. 1- $35.00 ea. 3- $30.00 ea. 12- $20.00 ea. CLWC Ligature and hard wire cutter (CARBIDE INSERTS) CUTTER 1- $65.00 ea. 3- $60.00 ea. 12- $55.00 ea. CECS End cutter small/close/hold (CARBIDE INSERTS) END CUTTER 1- $75.00 ea. CBRC End cutter 45 angle CUSTOMIZED for bracket removal/flattened to cutting edge 3- $70.00 ea. 12- $65.00 ea

4 VECTOR III PLIERS #139 Bird Beak #70 Fine optical Plier #110 Howe Plier Weingard Plier Tweed Plier Jarabak Plier All Pliers on this page are: #200 Three Nose Plier 1 $ $ $20.00 ONLY 12 CAN BE MIXED

5 VECTOR III INSTRUMENTS Director/Scaler Gotcha Tweezer 5 Mosquito forcep 3 1/2 mosquito forcep with very fine tip Molar tube and bracket tweezer 6 1/2 Deluxe Serrated Cotton Plier All Instruments on this page are: 1 $ $ $8.00 ONLY 12 CAN BE MIXED

6 VECTOR III Custom Pliers 70 XF 70 X Fine German Stainless steel Orthodontic Plier. Ergonomic size and shape for control, feel and comfort. Great for smaller, medium or large hands. Extra fine strong tip accomodates smaller areas for more controlled adjustments and bending. Easier bending and adjusting for smaller size wires including Nitinol type wires. 1ea.@ $ ea.@ $ ea.@ $40.00 CMFX Surgical Grade German Stainless Steel made with custom workmanship & satin finish. Mosquito forcep 4 3/4 with extra fine tip. from our German connection. 1.ea.@ $ ea.@ $ ea.@ $8.00 CMRT Mathieu 5 regular tip CMFT Mathieu 5 fine tip These are all fine quality German Stainless Steel. Prices for these are: 1ea.@ $ ea.@ $ ea.@ $20.00 CBFT Boynton Fine Tip Deluxe Stainless Steel Plaster Nipper 8 $43.00 DPN Deluxe Plaster Nipper

7 NOTE: Lifetime warranty/trade in policy; **Pliers Send pliers and $8.00 plus shipping & handling for each plier. *Instruments Send instrument and $5.00 plus shipping & handling for each instrument. Cutters Send cutter and $25.00 plus shipping & handling for each cutter. Big Hitter Discounts Mix any 8 dozens of instruments and or pliers and take 10% off the total. Your choice. Feel free to ask for help on putting together large or special orders for groups or student kits etc. To obtain more information on our support products and how to use them clinically go to our website at click on easy surfing & open fliers. Date Ship Via Quantity Item # Amount Name Address City State, zip Fax Phone Signature For more information please contact us at: VECTOR IIIâ 303 E. Dells Rd. Silver Lake, WI , Fax charge: us at vector3@hotmail.com see our website at: MC VISA American Express Card # Expiration Date Cash C.O.D. Sub-total Shipping & Handling Total CCV

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