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Purchase Minimum of $3,499 in Qualifying Single Unit Crown Products, Get 1 Duomix II at No Additional Charge!
Promotion Valid October 1, 2024- December 31st, 2024 in Canada ONLY
Eligible Brands:
Algin•X™, Aquasil Ultra, Aquasil Ultra Cordless, Aquasil® Ultra+, Calibra®, FluoroCore® 2+, Integrity®, Regisil®
Customer Information
Contact 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 Account Number
SalesForce SF#
Dentsply Sirona Chairside Specialist
Please Select
Jean Crawshaw -BC
Joanne Hovey -BC
Michelle Boucher - BC
Jennifer Reyes - AB
Nicolette Tessier -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
Tom Giftakopoulos -ON
Tabitha Thompson -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 - please specify in comments box
Invoice date
*
-
Month
-
Day
Year
Date
Attach Invoice
*
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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. Must be redeemed by 1/31/2025. Offers valid in Canada only. No incomplete submissions. 4-6 week delivery.
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