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* Minimum Order $25 *

PRESS STAIN POWDER
DESCRIPTION	CONTENTS	PRICE	QTY
PS-1	4g each	$20.00
PS-2	4g each	$20.00
PS-3	4g each	$20.00
PS-4	4g each	$20.00
PS-5	4g each	$20.00
PS-6	4g each	$20.00
PS-7	4g each	$20.00

PRE-BLENDED INGOTS
DESCRIPTION	CONTENTS	PRICE	QTY
A1	Five - 2.5g ingots each	$75.00
A2	Five - 2.5g ingots each	$75.00
A3	Five - 2.5g ingots each	$75.00
A3.5	Five - 2.5g ingots each	$75.00
A4	Five - 2.5g ingots each	$75.00
Bleach 01/02	Five - 2.5g ingots each	$75.00
Bleach 03	Five - 2.5g ingots each	$75.00
B1	Five - 2.5g ingots each	$75.00
B2	Five - 2.5g ingots each	$75.00
B3/B4	Five - 2.5g ingots each	$75.00
C1	Five - 2.5g ingots each	$75.00
C2	Five - 2.5g ingots each	$75.00
C3/C4	Five - 2.5g ingots each	$75.00
D2/D3/D4	Five - 2.5g ingots each	$75.00

DENTIN INGOTS
DESCRIPTION	CONTENTS	PRICE	QTY
A1	Five - 2.5g ingots each	$75.00
A2	Five - 2.5g ingots each	$75.00
A3	Five - 2.5g ingots each	$75.00
A3.5	Five - 2.5g ingots each	$75.00
A4	Five - 2.5g ingots each	$75.00
Bleach 01/02	Five - 2.5g ingots each	$75.00
Bleach 03	Five - 2.5g ingots each	$75.00
B1	Five - 2.5g ingots each	$75.00
B2	Five - 2.5g ingots each	$75.00
B3/B4	Five - 2.5g ingots each	$75.00
C1	Five - 2.5g ingots each	$75.00
C2	Five - 2.5g ingots each	$75.00
C3/C4	Five - 2.5g ingots each	$75.00
D2/D3/D4	Five - 2.5g ingots each	$75.00

ADD-ON BODY POWDER
DESCRIPTION	CONTENTS	PRICE	QTY
Light	10g each	$20.00
Medium	10g each	$20.00
Dark	10g each	$20.00

ADD-ON INCISAL POWDER
DESCRIPTION	CONTENTS	PRICE	QTY
Light	10g each	$20.00
Clear	10g each	$20.00
Gray	10g each	$20.00

STAIN POWDER
DESCRIPTION	CONTENTS	PRICE	QTY
A	4g each	$27.00
B	4g each	$27.00
C	4g each	$27.00
D	4g each	$27.00
Blue	4g each	$27.00
White	4g each	$27.00
Creme	4g each	$27.00
Violet	4g each	$27.00
Pink	4g each	$27.00
Dark Brown	4g each	$27.00
Yellow/Orange	4g each	$27.00

GLAZE POWDER
DESCRIPTION	CONTENTS	PRICE	QTY
Glaze	4g	$18.00

UNIVERSAL STAIN & GLAZE LIQUID
DESCRIPTION	CONTENTS	PRICE	QTY
Stain & Glaze	60ml	$12.00

UNIVERSAL BUILD-UP & OPAQUE LIQUID
DESCRIPTION	CONTENTS	PRICE	QTY
Build-Up Liquid	60ml	$8.00
Build-Up Liquid	8 oz	$24.00
Build-Up Liquid	16 oz	$49.00

Fill out the following information to complete your order. Your Glidewell account will be billed.††

*First Name:
*Last Name:
Name of Lab:
License Number:		State Issued:
Specialty:
*Address:
*City:
*State:
*Zip Code:
*Phone Number:
*Email Address:
Comments:

†Bulk discount will be applied when your order is processed.
††If you do not have an account, you will be contacted after you place your order to set one up. Billing for dentists only, all others C.O.D.
†††We use DHL ground shipping service for all orders. If you prefer other service, please call us at 1-888-303-6470.
*Required fields.