Q4 2021 Promo Redemption Request
Request your free goods by using the form below. Must submit this form with invoice by 1/31/22 to qualify. Offers valid only on purchases made between 10/1/21 and 12/31/21. If you have any difficulty with this form, please contact orders.usa@acteongroup.com.
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Purchase or Upgrade Date
*
/
Month
/
Day
Year
Date Picker Icon
Which Promotion are you Redeeming for free goods/rebate?
*
#2 X-MIND Prime 3D
#3 X-MIND Prime 2D
#5 SOPRO Cameras B2G2
#6 NEWTRON Total Protect w/ 1S tip and wrench
#7 NEWTRON Device w/ Intro Tip Kit
#8 NEWTRON Tips or Tip Kits
#9 AIR-N-GO Easy Perio Kit
#10 Piezotome CUBE
#11 Piezotome II Tips or Tip Kits
#12 Bliss
OTHER - Comment Below
What Other Promotion are you Redeeming?
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Which Free Good Are You Requesting for Promotion #2?
5% Rebate (US-Only)
2-Year Extended Warranty
1 Intraoral Imaging Device
Who should the Rebate check be made out to?
Please provide the customer email for the Rebate
example@example.com
Where should the Rebate check be sent?
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Which Intraoral Imaging Device are you requesting?
1 SOPIX2 Sensor
1 SOPRO Camera
1 X-MIND Unity
1 PSPIX2
Which SOPRO Cameras are you requesting for Promotion #5 *Must be equal or lesser value
SOPROLIFE S_900_0002
SOPROCARE S_950_0002
SOPRO717 S_717_0101
Which NEWTRON Tip Promotion are you redeeming?
Buy 6 Tips, Get 2 Tips
Buy 1 Tip Kit, Get 1 Tip
Which 2 NEWTRON Tips are you requesting as a free good for Promotion #8? *Must choose from one of the following below - no exceptions
10Z - F00254
1S - F00245
#1 - F00246
10P - F00253
10X - F00359
P2L - F00090
P2R - F00091
H4L - F00114
H4R - F00115
ET18D - F88017
ETBD - F88020
K20/21 Irrisafe - F43807
AS6D - F00079
Which NEWTRON Tip are you requesting as a free good for Promotion #8? *Must choose from one of the following below - no exceptions
10Z - F00254
1S - F00245
#1 - F00246
10P - F00253
10X - F00359
P2L - F00090
P2R - F00091
H4L - F00114
H4R - F00115
ET18D - F88017
ETBD - F88020
K20/21 Irrisafe - F43807
AS6D - F00079
Which Piezotome Tip Promotion are you redeeming?
Buy 6 Tips, Get 2 Tips
Buy 1 Tip Kit, Get 1 Tip
Which 2 Piezotome II Tips are you requesting as a free good for Promotion #11? *Must choose from one of the following below - no exceptions
BS1S - F87525
LC1 - F87507
LC2 - F87542
SL1 - F87511
SL2 - F87512
CS1 - F87561
TKW3 - F87533
Which Piezotome II Tip are you requesting as a free good for Promotion #11? *Must choose from one of the following below - no exceptions
BS1S - F87525
LC1 - F87507
LC2 - F87542
SL1 - F87511
SL2 - F87512
CS1 - F87561
TKW3 - F87533
Which offer are you redeeming in Promotion #12?
Bliss Buy 5, Get 1
Bliss Buy 12, Get 3
Bliss Buy 2 Prophy Kits (400CSS.SI)
Specify the free instrument(s) you would like to receive for Promotion #12 (Buy/Get promo only) *Must be equal or lesser value
402.01SI BLISS 1/2 GRACEY
402.05SI BLISS 5/6 GRACEY
402.11SI BLISS 11/12 GRACEY
402.13SI BLISS 13/14 GRACEY
402.15SI BLISS 15/16 GRACEY
402.17SI BLISS 17/18 GRACEY
405.04SI BLISS COLUMBIA 4L-4R
405.13SI BLISS COLUMBIA 13-14
408.05SI BLISS BARNHART 5-6
404.23SI BLISS M23
406.06SI BLISS LANGER 5-6
406.05SI BLISS H5-L5
406.07SI BLISS H6-H7
406.08SI BLISS #128-L5
406.09SI BLISS #128-L5 MINI
419.01SI BLISS MACHTOU PROBE 1-1
419.02SI BLISS MACHTOU PROBE 1-2
419.03SI BLISS MACHTOU PROBE 2-3
419.04SI BLISS MACHTOU PROBE 2-4
418.09SI BLISS GRADUATED PROBE #9
418.08SI BLISS GRADUATED PROBE #8
418.07SI BLISS GRADUATED PROBE #7
418.06SI BLISS GRADUATED PROBE #6
263.06SI BLISS DOUBLE PROBE 11/12
263.07SI BLISS DOUBLE PROBE 23/17
165.01SI BLISS EXCAVATOR DBLE #1
165.02SI BLISS EXCAVATOR DBLE #2
165.03SI BLISS EXCAVATOR DBLE #3
108.14SI BLISS BURNISHER DBL #14
194.12SI BLISS COMPOSITE INST #1
194.13SI BLISS COMPOSITE INST #2
194.14SI BLISS COMPOSITE INST #3
194.15SI BLISS COMPOSITE INST #4
194.16SI BLISS COMPOSITE INST #5
192.05SI BLISS COMPOSITE INST OP55
246.05SI BLISS WAX SPATULA SPLE #5
246.09SI BLISS WAX SPATULA SPLE #9
246.24SI BLISS WAX SPATULA SPLE SP24
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Terms and Conditions:
One offer per invoice
Prior sales outside promotion period are not eligible
All requests are subject to validation by ACTEON North America and may be denied or disqualified at ACTEON North America's sole discretion
Allow 4 - 6 weeks for delivery of free goods
Free goods eligible on qualifying purchases made between 10/1/21 and 12/31/21 and are based upon product availability
Invoice must be received by 1/31/22
By requesting free goods or rebate, you consent to receive occasional product announcements and special offers via email from ACTEON North America
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