Language
English (US)
Français
Buy $1750 of Nupro® Products, Get 1 Nupro® Freedom Handpiece FREE! (#90741L01)
Eligible products: Captivate by Nupro®, Nupro® Prophy Paste, Nupro® Sensodyne®, Nupro® White Varnish, Nupro Freedom® accessories, Nupro Freedom® Disposable Prophy Angles, Nupro® Revolv® Disposable Prophy Angles Q3 Coupon Code: CPN24309. Promotions Valid July 1-September 30, 2024. Redeem by October 31, 2024. Q4 Coupon Code: CPN24417. Promotions Valid October 1-December 31, 2024. Redeem by January 1, 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
Jennifer Reyes - AB
Sheena Fiander-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
*
Attach Invoice
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Select free good
90741L01 Nupro Freedom™ Cordless Prophy Package
Terms & Conditions:
Purchases made as related to free products and/or rebates are strictly non-returnable for credit. Purchases for the above promotion does not qualify for any other Dentsply Sirona special programs. Dentsply Sirona Canada reserves the right to change or cancel these promotions at any time. Offers valid in Canada only. Free product fulfilled by Dentsply Sirona Customer Care. Free good request include proof of purchase must be submitted through this respective online form within 30 days after the quarter.
Comments:
Print Form
Submit
Should be Empty: