Dental Box® Order Form

Dental Box®: $440.00/ea. plus $20.00 shipping & handling/ea

Please reference brochure for total Dental Box® content list.

• Payment:     Purchase Orders - Net 30 days
                        Check or Money Order – Prepay
                        Credit Card – MC / VISA only
• Checks & Money Orders made payable to: The Dental Box® Company
• Mail Payment to:  The Dental Box® Company, Inc.,
                                  PO Box 101430
                                  Pittsburgh, PA  15237
• Delivery: (Ground) Allow 7-10 business days from confirmation of order
• Reorder Forms: Contained within each Dental Box®

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