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SmartLite Pro Trade Up Program
BUY 1 SmartLite Pro Introductory Kit (#644400), GET $1,000 in DS Filling Materials FREE with TRADE IN of your old Curing Light! Promotion Valid October 1, 2024-December 31, 2024 in Canada Only. Must redeem by January 31, 2025.
Customer Information
Customer Name
*
First Name
Last Name
Customer Email
*
example@example.com
Practice Name
*
Practice Address
*
Street Address
Street Address Line 2
City
Province
Postal Code
Customer Phone Number
*
Dentsply Sirona Chairside Specialist
Please Select
Jean Crawshaw -BC
Joanne Hovey -BC
Michelle Boucher - BC
Sheena Fiander-AB
Nicolette Tessier - AB
Jennifer Reyes -AB
Kristy Charlton -SK
Kylee Zylberman -MB
Lisia Malcolm -ON
Manny Gill -ON
Marc Pelletier -ON
Michael Hannan -ON
Paul Khazzaka -ON
Tabitha Thompson - ON
Tom Giftakopoulos -ON
Diane Bellemare -QC
Martin Durand -QC
Pier-Luc Boucher - QC
Rima Ambaraghassi -QC
Natalie Hayes -NS/NB/PEI/NFLD
Authorized Distributor
*
Please Select
Patterson Dental
Henry Schein
Sinclair Dental
K-Dental
Other
Dealer Representative Name:
First Name
Last Name
Invoice date
*
-
Month
-
Day
Year
Date
Invoice/ Order Number
*
Certification
*
I certify that the trade-in curing light unit has been traded in, removed from the office, and disposed of properly.
Attach Invoice
*
Browse Files
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Choose a file
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of
Attach Picture of Old curing light
*
Browse Files
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Please Select Free Good (choose 1)
*
6x TPH Spectra ST HV A2 - 642232(compules box 20)
6x TPH Spectra ST LV A2- 642221 (compules box 20)
8x Surefil SDR+ A2 compula 61C107
15x Surefil SDR+ syringes Universal 61C130
Please have my Dentsply Sirona Rep contact me
Please see comments below
Terms & Conditions
Free Goods must be of equal or lesser value and the above promotions cannot be combined. Purchases made as related to free products and/or rebates are strictly non-returnable for credit. Purchases for the above promotions do not qualify for any other Dentsply Sirona special programs. Dentsply Sirona Canada reserves the right to change or cancel these promotions at any time. Promotions valid October 1, 2024-December 31, 2024. Offers valid in Canada only. No incomplete submissions. 4-6 week delivery.
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