2017 Customer Choice Promotion

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1 2017 Customer Choice Promotion January 1 June 30, 2017 FEATURED PRODUCTS ADDITIONAL PRODUCTS FREE OFFER To qualify: 1. Must purchase a minimum of one (1) product from a minimum of three (3) different featured products categories. 2. Purchase additional products on the form to meet a total purchase minimum of $2,400 (suggested retail price). 3. Receive one product from the free products list. Note: Please see last page of this form for ordering and shipping rules and information. FEATURED PRODUCTS Adhesives Scotchbond Universal Introductory Kit, Vial $ Scotchbond Universal Refill, 5ml Vial $ Scotchbond Universal Introductory Kit, Unit Dose 40 $ Scotchbond Universal, Unit Dose 100 $ Scotchbond Universal, Unit Dose 200 $ Scotchbond Universal Etchant $ Scotchbond Universal DCA Dual Cure Activator, 5ml vial $ Cements RelyX Ultimate Introductory Kit $ RelyX Ultimate Trial Kit, Translucent $ RelyX Ultimate Trial Kit, A1 $ RelyX Ultimate Refill, A1 $ RelyX Ultimate Refill, A3O Opaque $ RelyX Ultimate Refill, Bleach 0.5 $ RelyX Ultimate Refill, Translucent $ RelyX Ultimate Mixing Tips, Regular (30) $ RelyX Ultimate Mixing Tips, (1) Bag, (10) each Wide & Endo $ RelyX Ultimate Mixing Tips, (1) Bag, (10) each Wide & Intra Oral $ RelyX Unicem Self-Adhesive Resin Cement Aplicap Refill, White Opaque $ RelyX Unicem Aplicap Elongation Tips $ RelyX Unicem 2 Automix Mixing Tips, Regular (30) $ RelyX Unicem 2 Automix Mixing Tips, Wide (15) and Endo (15) $ RelyX Unicem 2 Automix Mixing Tips, Wide (15) and Intra-oral (15) $33.45

2 FEATURED PRODUCTS 2 Cements (cont.) RelyX Unicem 2 Automix Self-Adhesive Resin Cement Refill, A2 Universal $ RelyX Unicem 2 Automix Self-Adhesive Resin Cement Refill, A3 Opaque $ RelyX Unicem 2 Automix Self-Adhesive Resin Cement Refill, Translucent $ RelyX Unicem 2 Automix Self-Adhesive Resin Cement Value Pack, A2 Universal $ RelyX Unicem 2 Automix Self-Adhesive Resin Cement Value Pack, A3 Opaque $ RelyX Unicem 2 Automix Self-Adhesive Resin Cement Value Pack, Translucent $ RelyX Unicem 2 Self-Adhesive Resin Cement in Clicker Dispenser, A3 Opaque $ RelyX Unicem 2 Self-Adhesive Resin Cement in Clicker Dispenser, A2 $ RelyX Unicem 2 Self-Adhesive Resin Cement in Clicker Dispenser, Translucent $ RelyX Unicem Self-Adhesive Resin Cement Aplicap Introductory Kit, 50 Capsules $ RelyX Unicem Cement Refill, 50 Aplicap Capsules, Assorted Shades $ RelyX Unicem Cement Refill, 50 Aplicap Capsules, Translucent $ RelyX Unicem Cement Refill, 50 Aplicap Capsules, A3 Opaque $ RelyX Unicem Cement Refill, 50 Aplicap Capsules, A2 $ RelyX Unicem Cement Refill, 20 Aplicap Capsules, A1 $ RelyX Unicem Self-Adhesive Resin Cement Maxicap Introductory Kit, 20 Capsules $ RelyX Unicem Cement Refill, 20 Maxicap Capsules, Assorted Shades $ RelyX Unicem Cement Refill, 20 Maxicap Capsules, Translucent $ RelyX Unicem Cement Refill, 20 Maxicap Capsules, A3 Opaque $ RelyX Unicem Cement Refill, 20 Maxicap Capsules, A2 $ RelyX Luting Plus Automix Cement Value Pack $ TK RelyX Luting Plus Automix Cement Trial Kit $ RelyX Luting Plus Automix Tips Refill $ RelyX Luting Plus Cement Clicker Refill $ TK RelyX Luting Plus Cement Clicker Dispenser Trial Kit $ TK RelyX Veneer Cement Trial Kit $ RelyX Veneer Cement Introductory Kit $ TR RelyX Veneer Cement Refill Syringe, Translucent $ WO RelyX Veneer Cement Refill Syringe, White Opaque $ A1 RelyX Veneer Cement Refill Syringe, A1/Light Yellow $ A3 RelyX Veneer Cement Refill Syringe, A3 Opaque/Yellow Opaque $ A5 RelyX Veneer Cement Refill Syringe, A5 Opaque/Dark Shade $ B0.5 RelyX Veneer Cement Refill Syringe, B0.5/White Shade $ TRT RelyX Try-In Paste Refill Syringe, Translucent $ WOT RelyX Try-In Paste Refill Syringe, White Opaque $ A1T RelyX Try-In Paste Refill Syringe, A1/Light Yellow $ A3T RelyX Try-In Paste Refill Syringe, A3 Opaque/Yellow Opaque $ A5T RelyX Try-In Paste Refill Syringe, A5/Dark $ B0.5T RelyX Try-In Paste Refill Syringe, B0.5/White Shade $77.10

3 FEATURED PRODUCTS 3 Composites 6028SU Filtek Supreme Ultra Universal Restorative Syringe Introductory Kit $ SU Filtek Supreme Ultra Universal Restorative Capsule Trial Kit $ DU Filtek Supreme Ultra Universal Restorative Syringe Dual Shade Introductory Kit $ DU Filtek Supreme Ultra Universal Restorative Capsule Dual Shade Introductory Kit $ M Filtek Supreme Ultra Universal Restorative Capsule Masters Kit $ Filtek Supreme Ultra Universal Restorative, Body Refills A1B 6028A1B $ A1B $ A2B 6028A2B $ A2B $ A3B 6028A3B $ A3B $ A3.5B 6028A3.5B $ A3.5B $ A4B 6028A4B $ A4B $ A6B 6028A6B $ A6B $ B1B 6028B1B $ B1B $ B2B 6028B2B $ B2B $ B3B 6028B3B $ B3B $ B5B 6028B5B $ B5B $ C1B 6028C1B $ C1B $ C2B 6028C2B $ C2B $ C3B 6028C3B $ C3B $ D2B 6028D2B $ D2B $ D3B 6028D3B $ D3B $ White 6028WB $ WB $ Extra White 6028XWB $ XWB $ Filtek Supreme Ultra Universal Restorative, Dentin Refills A1D 6028A1D $ A1D $67.35 A2D 6028A2D $ A2D $67.35 A3D 6028A3D $ A3D $67.35 A4D 6028A4D $ A4D $67.35 B3D 6028B3D $ B3D $67.35 C4D 6028C4D $ C4D $67.35 White 6028WD $ WD $67.35 Filtek Supreme Ultra Universal Restorative, Translucent Refills Clear 6028CT $ CT $67.35 Blue 6028BT $ BT $67.35 Gray 6028GT $ GT $67.35 Amber 6028AT $ AT $67.35

4 FEATURED PRODUCTS 4 Composites (cont.) Filtek Supreme Ultra Universal Restorative, Enamel Refills A1E 6028A1E $ A1E $67.35 A2E 6028A2E $ A2E $67.35 A3E 6028A3E $ A3E $67.35 B1E 6028B1E $ B1E $67.35 B2E 6028B2E $ B2E $67.35 D2E 6028D2E $ D2E $67.35 White 6028WE $ WE $67.35 Extra White 6028XWE $ XWE $67.35 Filtek Supreme Ultra Flowable Restorative Refills A1 6032A1 $ A1 $ A2 6032A2 $ A2 $ A3 6032A3 $ A3 $ A A3.5 $ A3.5 $ A4 6032A4 $ A4 $ B1 6032B1 $ B1 $ B2 6032B2 $ B2 $ C2 6032C2 $ C2 $ D2 6032D2 $ D2 $ White 6032W $ W $ Extra White 6032XW $ XW $ OA3 6032OA3 $ OA3 $ Filtek Bulk Fill Flowable Restorative Refills A1 4862A1 $ A1 $76.65 A2 4862A2 $ A2 $76.65 A3 4862A3 $ A3 $76.65 Universal 4862U $ U $76.65 Filtek Bulk Fill Posterior Restorative Refills A1 4863A1 $ A1 $94.60 A2 4863A2 $ A2 $94.60 A3 4863A3 $ A3 $94.60 B1 4863B1 $ B1 $94.60 C2 4863C2 $ C2 $94.60

5 FEATURED PRODUCTS 5 Composites (cont.) Paradigm Nano Hybrid Universal Restorative Refills A1 1480A1 $ A1 $95.05 A2 1480A2 $ A2 $95.05 A3 1480A3 $ A3 $95.05 A A3.5 $ A3.5 $95.05 A4 1480A4 $ A4 $95.05 B1 1480B1 $ B1 $95.05 B2 1480B2 $ B2 $95.05 B3 1480B3 $ B3 $95.05 C2 1480C2 $ C2 $95.05 D3 1480D3 $ D3 $95.05 OA2 1480OA2 $ OA2 $95.05 OA3 1480OA3 $ OA3 $95.05 Impression Materials and Accessories M Retraction Capsule Refill Pack, 25-count $ M Retraction Capsule Value Pack, 100-count $ PP Imprint 3 Penta Putty Refill $ PH Imprint 3 Penta Heavy Body Refill $ PH Imprint 3 Penta Quick Step Heavy Body Refill $ Imprint 3 Garant Heavy Body Refill $ Imprint 3 Garant Light Body Refill $ Imprint 3 Garant Regular Body Refill $ Imprint 3 Garant Ultra Regular Body Refill $ Imprint 3 Garant Quick Step Heavy Body Refill $ Imprint 3 Garant Quick Step Light Body Refill $ Imprint 3 Garant Quick Step Regular Body Refill $ Imprint 3 Garant Quick Step Ultra Regular Body Refill $ Imprint 3 Garant Monophase Refill $ J Imprint 3 Garant Heavy Body Jumbo Pack $ J Imprint 3 Garant Quick Step Heavy Body Jumbo Pack $ Imprint 4 Preliminary VPS Preliminary Regular Economy Pack $ Imprint 4 Preliminary VPS Preliminary Super Quick Economy Pack $ Imprint 4 Preliminary VPS Preliminary Bulk Pack $ Imprint 4 Preliminary VPS Preliminary Super Quick Bulk Pack $ Imprint 4 Preliminary Penta VPS Preliminary Refill $ Imprint 4 Preliminary Penta VPS Preliminary Super Quick Refill $ Imprint 4 Preliminary Penta VPS Preliminary Value Pack $ Imprint 4 Preliminary Penta VPS Preliminary Super Quick Value Pack $ Imprint 4 Bite Refill $ Imprint 4 Penta VPS HB Introductory Kit $ Imprint 4 Penta VPS HB Refill $415.65

6 FEATURED PRODUCTS 6 Impression Materials and Accessories (cont.) Imprint 4 Penta VPS Super Quick HB Introductory Kit $ Imprint 4 Penta VPS Super Quick HB Refill $ Imprint 4 Penta VPS Putty Introductory Kit $ Imprint 4 Penta VPS Putty Refill $ Imprint 4 VPS HB Introductory Kit $ Imprint 4 VPS HB Economy Pack $ Imprint 4 VPS HB Refill $ Imprint 4 VPS RB Refill $ Imprint 4 VPS LB Refill $ Imprint 4 VPS Super Quick HB Introductory Kit $ Imprint 4 VPS Super Quick HB Economy Pack $ Imprint 4 VPS Super Quick HB Refill $ Imprint 4 VPS Super Quick RB Refill $ Imprint 4 VPS Super Quick LB Refill $ Impregum Garant Soft Tray Introductory Kit $ Impregum Garant Soft Quick Step Tray Introductory Kit $ Impregum Garant Soft Tray Refill Pack (4-cartridges) $ Impregum Garant Soft Quick Step Tray Refill Pack (4-cartridges) $ P31685 Impregum Penta MB Introductory Kit P3 $ P31771 Impregum Penta Soft Quick Step MB Introductory Kit P3 $ P31779 Impregum Penta Soft Quick Step HB/LB Introductory Kit, P3 $ P31739 Impregum Penta Soft HB/LB Introductory Kit, P3 $ P31735 Impregum Penta Soft MB Introductory Kit, P3 $ Impregum Penta MB Refill $ Impregum Penta Soft MB Refill $ Impregum Penta Soft Quick Step MB Refill $ Impregum Garant Soft Quick Step LB Refill $ Impregum Penta Soft Quick Step HB Refill $ Impregum Penta Soft HB Refill $ Impregum Penta Soft LB Refill $ Impregum Garant Soft LB Refill $ Preventive Care Clinpro % NaF Anti Cavity Toothpaste 4 oz tube (24 tubes/case), Vanilla Mint $ SM Clinpro % NaF Anti Cavity Toothpaste 4 oz tube (24 tubes/case), Spearmint $ BG Clinpro % NaF Anti Cavity Toothpaste 4 oz tube (24 tubes/case), Bubble Gum $ C Vanish 5% NaF White Varnish with TCP, (50-count), Cherry $ L Vanish 5% NaF White Varnish with TCP, (50-count), Melon $ M Vanish 5% NaF White Varnish with TCP, (50-count), Mint $ C Vanish 5% NaF White Varnish with TCP, (100-count), Cherry $ L Vanish 5% NaF White Varnish with TCP, (100-count), Melon $ M Vanish 5% NaF White Varnish with TCP, (100-count), Mint $ C Vanish 5% NaF White Varnish with TCP, (1,000-count), Cherry $1,394.70

7 FEATURED PRODUCTS 7 Preventive Care (cont.) 12151CL Vanish 5% NaF White Varnish with TCP, (1,000-count), Cherry and Melon $1, L Vanish 5% NaF White Varnish with TCP, (1,000-count), Melon $1, M Vanish 5% NaF White Varnish with TCP, (1,000-count), Mint $1, X Vanish 5% NaF White Varnish with TCP, (1,000-count), Mixed Flavors $1, Provisional Protemp Plus Temporization Material Introductory Kit $ Protemp Plus Temporization Material Refill Pack, Bleach $ Protemp Plus Temporization Material Refill Pack, A1 $ Protemp Plus Temporization Material Refill Pack, A2 $ Protemp Plus Temporization Material Refill Pack, A3 $ Protemp Plus Temporization Material Refill Pack, A3.5 $ Protemp Plus Temporization Material Refill Pack, B3 $ Protemp Crown Temporization Material Refills, Molar Upper Large $ Protemp Crown Temporization Material Refills, Molar Upper Small $ Protemp Crown Temporization Material Refills, Molar Lower Large $ Protemp Crown Temporization Material Refills, Molar Lower Small $ Protemp Crown Temporization Material Refills, Bicuspid Upper Large $ Protemp Crown Temporization Material Refills, Bicuspid Upper Small $ Protemp Crown Temporization Material Refills, Bicuspid Lower $ Protemp Crown Temporization Material Refills, Cuspid Large $ Protemp Crown Temporization Material Refills, Cuspid Small $59.65 ADDITIONAL PRODUCTS Cements and Fiber Post Materials RelyX Fiber Post 3D Glass Fiber Post Introductory Kit $ RelyX Fiber Post 3D Glass Fiber Post Refill Size 0, White $ RelyX Fiber Post 3D Glass Fiber Post Refill Size 1, Yellow $ RelyX Fiber Post 3D Glass Fiber Post Refill Size 2, Red $ RelyX Fiber Post 3D Glass Fiber Post Refill Size 3, Blue $ RelyX Fiber Post 3D Glass Fiber Post Drill Refill Size 0, White $ RelyX Fiber Post 3D Glass Fiber Post Drill Refill Size 1, Yellow $ RelyX Fiber Post 3D Glass Fiber Post Drill Refill Size 2, Red $ RelyX Fiber Post 3D Glass Fiber Post Drill Refill Size 3, Blue $ RelyX Fiber Post 3D Glass Fiber Post Drill Refill Reamer/Universal $ RelyX Fiber Post 3D Glass Fiber Post Trial Kit with RelyX Unicem 2 $ RelyX Fiber Post 3D Glass Fiber Post and Core Build-up Kit with RelyX Unicem 2 $525.00

8 ADDITIONAL PRODUCTS 8 Finishing and Polishing 5090 Sof-Lex Pre-Polishing Spirals Refill, Beige $ Sof-Lex Diamond Polishing Spirals Refill, Pink $ IM Sof-Lex Diamond Polishing System Introductory Kit $ C Sof-Lex Disc Refills, Coarse $ F Sof-Lex Disc Refills, Fine $ M Sof-Lex Disc Refills, Medium $ SF Sof-Lex Disc Refills, Superfine $ Sof-Lex Finishing Strips, Course/Medium $ N Sof-Lex Finishing Strips, Course/Medium-Narrow $ Sof-Lex Finishing Strips, Fine/Superfine $ C Sof-Lex Contouring Disc, 1/2" Diameter Refill, Coarse $ F Sof-Lex Contouring Disc, 1/2" Diameter Refill, Fine $ M Sof-Lex Contouring Disc, 1/2" Diameter Refill, Medium $ SF Sof-Lex Contouring Disc, 1/2" Diameter Refill, Superfine $ C Sof-Lex Contouring Disc, 3/8" Diameter Refill, Coarse $ F Sof-Lex Contouring Disc, 3/8" Diameter Refill, Fine $ M Sof-Lex Contouring Disc, 3/8" Diameter Refill, Medium $ SF Sof-Lex Contouring Disc, 3/8" Diameter Refill, Superfine $ P Sof-Lex Finishing and Polishing Systems Kit $ C Sof-Lex Extra-Thin Disc, 1/2" Diameter Refill, Coarse $ F Sof-Lex Extra-Thin Disc, 1/2" Diameter Refill, Fine $ M Sof-Lex Extra-Thin Disc, 1/2" Diameter Refill, Medium $ SF Sof-Lex Extra-Thin Disc, 1/2" Diameter Refill, Superfine $ C Sof-Lex Extra-Thin Disc, 3/8" Diameter Refill, Coarse $ F Sof-Lex Extra-Thin Disc, 3/8" Diameter Refill, Fine $ M Sof-Lex Extra-Thin Disc, 3/8" Diameter Refill, Medium $ SF Sof-Lex Extra-Thin Disc, 3/8" Diameter Refill, Superfine $ Sof-Lex Extra-Thin Contouring and Polishing Disc Introductory Kit $ Glass Ionomer/Liners Ketac Universal Aplicap Glass Ionomer Restorative Refill, 50 Capsules, Assorted $ Ketac Universal Aplicap Glass Ionomer Restorative Refill, 50 Capsules, White $ Ketac Universal Aplicap Glass Ionomer Restorative Refill, 50 Capsules, A1 $ Ketac Universal Aplicap Glass Ionomer Restorative Refill, 50 Capsules, A2 $ Ketac Universal Aplicap Glass Ionomer Restorative Refill, 50 Capsules, A3 $ Ketac Universal Aplicap Glass Ionomer Restorative Refill, 50 Capsules, A3.5 $ Ketac Universal Aplicap Glass Ionomer Restorative Refill, 50 Capsules, A4 $ Ketac Universal Aplicap Glass Ionomer Restorative Refill, 300 Capsules, A3 $1, TK Ketac Nano Light-Curing Glass Ionomer Quick Mix Capsule Trial Kit $ A1 Ketac Nano Light-Curing Glass Ionomer Quick Mix Capsule Refill, A1 $ A2 Ketac Nano Light-Curing Glass Ionomer Quick Mix Capsule Refill, A2 $128.90

9 ADDITIONAL PRODUCTS 9 Glass Ionomer/Liners (cont.) 3305A3 Ketac Nano Light-Curing Glass Ionomer Quick Mix Capsule Refill, A3 $ A3.5 Ketac Nano Light-Curing Glass Ionomer Quick Mix Capsule Refill, A3.5 $ A4 Ketac Nano Light-Curing Glass Ionomer Quick Mix Capsule Refill, A4 $ B2 Ketac Nano Light-Curing Glass Ionomer Quick Mix Capsule Refill, B2 $ I Ketac Nano Light-Curing Glass Ionomer Restorative Clicker Introductory Kit $ TK Ketac Nano Light-Curing Glass Ionomer Restorative Clicker Trial Kit $ A1 Ketac Nano Light-Curing Glass Ionomer Restorative Clicker Refill, A1 $ A2 Ketac Nano Light-Curing Glass Ionomer Restorative Clicker Refill, A2 $ A3 Ketac Nano Light-Curing Glass Ionomer Restorative Clicker Refill, A3 $ A3.5 Ketac Nano Light-Curing Glass Ionomer Restorative Clicker Refill, A3.5 $ B2 Ketac Nano Light-Curing Glass Ionomer Restorative Clicker Refill, B2 $ Ketac Molar Aplicap Glass Ionomer Restorative Refill, Assorted $ Ketac Molar Aplicap Glass Ionomer Restorative Refill, A1 $ Ketac Molar Aplicap Glass Ionomer Restorative Refill, A3 $ Ketac Molar Quick Aplicap Glass Ionomer Restorative Refill, Assorted $ Ketac Molar Quick Aplicap Glass Ionomer Restorative Refill, A1 $ Ketac Molar Quick Aplicap Glass Ionomer Restorative Refill, A2 $ Ketac Molar Quick Aplicap Glass Ionomer Restorative Refill, A3 $ Ketac Fil Plus Aplicap Glass Ionomer Anterior Restorative Introductory Kit $ Ketac Fil Plus Aplicap Glass Ionomer Anterior Restorative Refill, Assorted $ Ketac Fil Plus Aplicap Glass Ionomer Anterior Restorative Refill, A1 $ Ketac Fil Plus Aplicap Glass Ionomer Anterior Restorative Refill, A2 $ Ketac Fil Plus Aplicap Glass Ionomer Anterior Restorative Refill, A3 $ Ketac Fil Plus Aplicap Glass Ionomer Anterior Restorative Refill, A3.5 $ Ketac Fil Plus Aplicap Glass Ionomer Anterior Restorative Refill, A4 $ Ketac Silver Aplicap Silver Glass Ionomer Cement Restorative Introductory Kit $ Ketac Silver Aplicap Silver Glass Ionomer Cement Restorative Capsule Refill $ Ketac Silver Maxicap Silver Glass Ionomer Cement Restorative Capsule Refill $ Photac Fil Quick Aplicap Light-Cured Glass Ionomer Restorative Refill, A1 $ Photac Fil Quick Aplicap Light-Cured Glass Ionomer Restorative Refill, A2 $ Photac Fil Quick Aplicap Light-Cured Glass Ionomer Restorative Refill, A3 $ Photac Fil Quick Aplicap Light-Cured Glass Ionomer Restorative Refill, A3.5 $ Photac Fil Quick Aplicap Light-Cured Glass Ionomer Restorative Refill, B2 $ Photac Fil Quick Aplicap Light-Cured Glass Ionomer Restorative Refill, C4 $ Photac Fil Quick Aplicap Light-Cured Glass Ionomer Restorative Refill, DBO $ Photac Fil Quick Aplicap Light-Cured Glass Ionomer Restorative Refill, Assorted $ Vitrebond Plus Light Cure Glass Ionomer Liner/Base, Single Pack Kit $ Vitrebond Plus Light Cure Glass Ionomer Liner/Base, Double Pack Kit $ Aplicap Combination Pack, 1 Activator, 1 Applier $ Aplicap Activator, Orange Trim $ Aplicap Applier, Orange Trim $113.10

10 ADDITIONAL PRODUCTS 10 Impression Materials and Accessories Paradigm Penta VPS HB Refill $ Paradigm Penta VPS HB Fast Set Refill $ Paradigm VPS LB Refill $ Paradigm VPS LB Fast Set Refill $ Paradigm VPS RB Refill $ Paradigm VPS RB Fast Set Refill $ Paradigm VPS HB Refill $ Paradigm VPS HB Fast Set Refill $ J Paradigm VPS HB Jumbo Pack $ J Paradigm VPS HB Fast Set Jumbo Pack $ Paradigm Monophase MB Refill $ Garant Polyether Mixing Tips, Purple (50) $ Garant VPS Mixing Tips, Green (50) $ M Intra-oral Syringe Purple, Refill Pack (50) $ M Intra-oral Syringe Green, Refill Pack (50) $ M Penta Mixing Tips Red, Refill Pack (50) $ Directed Flow Impression Tray Refills, Small Upper (10) $ Directed Flow Impression Tray Refills, Medium Upper (10) $ Directed Flow Impression Tray Refills, Large Upper (10) $ Directed Flow Impression Tray Refills, Small Lower (10) $ Directed Flow Impression Tray Refills, Medium Lower (10) $ Directed Flow Impression Tray Refills, Large Lower (10) $23.65 Universal Pentamix Cartridges Universal Penta for Pentamix 2 $ Universal Penta for Pentamix 3 $62.25 Pentamix 3 Cartridges P3792 Impregum Penta $ Imprint 4 Penta HB $62.25 P3788 Impregum Penta Soft MB $ Imprint 4 Penta SQ HB $62.25 P3794 Impregum Penta Soft HB $ Imprint 4 Penta Putty $62.25 P3796 Impregum Penta Soft LB $ Imprint 4 Preliminary Penta $62.25 P3776 Impregum Penta Soft QS MB $ Imprint 4 Preliminary Penta SQ $62.25 P3774 Impregum Penta Soft QS HB $62.25 Lava Ultimate Restorative 2914SK Lava Ultimate Restorative Introductory Kit for CEREC : Includes 5 blocks, size 14L; shades A1-LT, A2-HT, A2-LT, A3-HT, A3-LT; 5 blocks, size 12; shades A1-LT, A2-HT, A2-LT, A3-HT, A3-HT $316.20

11 ADDITIONAL PRODUCTS 11 Lava Ultimate Restorative (cont.) Lava Ultimate Restorative Refills with Blue Mandrel Quantity Size Item # Shade MSRP Quantity Size Item # Shade MSRP BL-LT BL-LT $ BL-LT BL-LT $ A1-HT A1-HT $ A1-HT A1-HT $ A1-LT A1-LT $ A1-LT A1-LT $ A2-HT A2-HT $ A2-HT A2-HT $ A2-LT A2-LT $ A2-LT A2-LT $ A3-HT A3-HT $ A3-HT A3-HT $ A3-LT A3-LT $ A3-LT A3-LT $ A3.5-LT A3.5LT $ A3.5-LT A3.5LT $ B1-HT B1-HT $ B1-HT B1-HT $ B1-LT B1-LT $ B1-LT B1-LT $ C2-LT C2-LT $ C2-LT C2-LT $ D2-LT D2-LT $ D2-LT D2-LT $ Lava Ultimate Restorative Refills for CEREC Quantity Size Item # Shade MSRP Quantity Size Item # Shade MSRP BL-LT BL-LT $ BL-LT BL-LT $ A1-HT A1-HT $ A1-HT A1-HT $ A1-LT A1-LT $ A1-LT A1-LT $ A2-HT A2-HT $ A2-HT A2-HT $ A2-LT A2-LT $ A2-LT A2-LT $ A3-HT A3-HT $ A3-HT A3-HT $ A3-LT A3-LT $ A3-LT A3-LT $ A3.5-LT A3.5LT $ A3.5-LT A3.5LT $ B1-HT B1-HT $ B1-HT B1-HT $ B1-LT B1-LT $ B1-LT B1-LT $ C2-LT C2-LT $ C2-LT C2-LT $ D2-LT D2-LT $ D2-LT D2-LT $ Lava Ultimate Restorative Refills for Planmill Quantity Size Item # Shade MSRP Quantity Size Item # Shade MSRP BL-LT BL-LT $ A3-LT A3-LT $ A1-HT A1-HT $ A3.5-LT A3.5LT $ A1-LT A1-LT $ B1-HT B1-HT $ A2-HT A2-HT $ B1-LT B1-LT $ A2-LT A2-LT $ C2-LT C2-LT $ A3-HT A3-HT $ D2-LT D2-LT $ Lava Ultimate Restorative Refills for TS150 Quantity Size Item # Shade MSRP Quantity Size Item # Shade MSRP BL-LT BL-LT $ A3-LT A3-LT $ A1-HT A1-HT $ A3.5-LT A3.5LT $ A1-LT A1-LT $ B1-HT B1-HT $ A2-HT A2-HT $ B1-LT B1-LT $ A2-LT A2-LT $ C2-LT C2-LT $ A3-HT A3-HT $ D2-LT D2-LT $156.00

12 ADDITIONAL PRODUCTS 12 Preventive Care 12105SM PerioMed 0.63% Stannous Fluoride Oral Rinse 2.75 oz bottle (24 bottles/case), Mint $ M PerioMed 0.63% Stannous Fluoride Oral Rinse 10 oz bottle (24 bottles/case), Mint $ F PerioMed 0.63% Stannous Fluoride Oral Rinse 10 oz bottle (24 bottles/case), Tropical Fruit $ Peridex Chlorhexidine Gluconate 0.12% Oral Rinse 4 oz bottle (48 bottles/case) $ Peridex Chlorhexidine Gluconate 0.12% Oral Rinse 16 oz bottle (12 bottles/case) $ Peridex Chlorhexidine Gluconate 0.12% Oral Rinse 64 oz bottle (4 bottles/case) $ Clinpro Sealant Introductory Kit, Syringes $ Clinpro Sealant Refill, Syringe $ Vanish XT Extended Contact Varnish $ Clinpro Tooth Crème 0.21% Sodium Fluoride Anti-Cavity Toothpaste 4 oz tube (24 tubes/case), Vanilla Mint $ Clinpro Glycine Prophy Powder 5.6 oz bottle (2 bottles/box) $57.00 Provisional/Temporization Materials ND-96 Stainless Steel Crowns, Primary Molar Set $ PO-96 Stainless Steel Crowns, Permanent Molar Set $ Unitek Stainless Steel Crowns, Primary Anterior Set $ Unitek Stainless Steel Crowns, Primary Molar Set $ Unitek Stainless Steel Crowns, Permanent Bicuspid Set $ Unitek Stainless Steel Crowns, Permanent Molar Set $ Strip Crown Forms, Pediatric Anterior Set $ FREE OFFER (select one) Paradigm DeepCure LED Curing Light $ Pentamix 3 Automatic Mixing Unit $ RotoMix Capsule Mixing Unit $0

13 13 To submit for your free goods, please send this completed form and a copy of your invoice showing proof of purchase to your 3M Oral Care sales representative. Please provide complete shipping information, including business phone. (please print) Business Phone Fax Doctor Name Business Address City State ZIP Purchased from 3M Oral Care Authorized Distributor 3M Oral Care Sales Representative Fax Please check the appropriate box if you do not wish to receive communications from 3M Oral Care via o Fax or o . This information will be used only to provide you with information about 3M products and in accordance with 3M s privacy policy found at Offers are valid in the United States. Please allow 3 5 weeks for delivery. 3M Oral Care reserves the right to discontinue or change these offers at any time. Offers cannot be combined. Pricing is subject to change. Products must be purchased together on one invoice dated January 1 June 30, 2017 (multiple invoices are accepted from a single purchase order when order cannot ship complete). Redeem by July 31, It is the doctor s obligation to properly report and appropriately reflect any free product on their submissions to Medicare/Medicaid/private insurance. No returns or exchanges on free equipment will be accepted. Offer void if purchased product is returned. Find a U.S. authorized 3M Oral Care distributor at: 3MESPE.com/authorizeddealers 3M Oral Care 2510 Conway Avenue St. Paul, MN USA M Canada Post Office Box 5757 London, Ontario N6A 4T1 Canada M.com/dental 3M, Aplicap, Clicker, Clinpro, Filtek, Garant, Impregum, Imprint, Ketac, Lava, Maxicap, Paradigm, Penta, Pentamix, Peridex, PerioMed, Photac, Protemp, RelyX, RotoMix, Scotchbond, Sof-Lex, Unitek, Vanish and Vitrebond are trademarks of 3M Company or 3M Deutschland GmbH. Used under license in Canada. All other trademarks are property of their respective owners. Please recycle. Printed in U.S.A. 3M All rights reserved.

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