Dental
Instruments Order Form
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Double Ended Sickle Scaler/Curettes/Explorer/Pluggers/Burnishers/Excavators/Hatchets
$14.50 each Handles: 2-Oct (Octagon 1/4" - 6.35mm) 2 (1/4" - 6.35mm) 4 (5/16" - 7.93mm) 6 (3/8" - 9.52mm) |
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| Quantity |
Handle SIzes: (circle one) |
Instrument Name/Number/Style | Price |
Total |
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2-Oct 2 4 6 |
$14.50 | ||||||
| 2-Oct 2 4 6 | $14.50 | ||||||
| 2-Oct 2 4 6 | $14.50 | ||||||
| 2-Oct 2 4 6 | $14.50 | ||||||
| 2-Oct 2 4 6 | $14.50 | ||||||
| 2-Oct 2 4 6 | $14.50 | ||||||
| 2-Oct 2 4 6 | $14.50 | ||||||
| 2-Oct 2 4 6 | $14.50 | ||||||
| 2-Oct 2 4 6 | $14.50 | ||||||
| 2-Oct 2 4 6 | $14.50 | ||||||
| 2-Oct 2 4 6 | $14.50 | ||||||
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Single Ended Sickle Scalers/Curettes/Explorers/Hatchets
$11.50 each |
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| Quantity |
Handle Sizes: (circle one) |
Instrument Name/Number/Style | Price |
Total |
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2 4 6 |
$11.50 | ||||||
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2 4 6 |
$11.50 | ||||||
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2 4 6 |
$11.50 | ||||||
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2 4 6 |
$11.50 | ||||||
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2 4 6 |
$11.50 | ||||||
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Double Ended Probe-Explorer
Combos/Carvers/Composite $16.50 each |
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| Quantity |
Handle Sizes: (circle one) |
Instrument Name/Number/Style | Price |
Total |
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|
2 4 6 |
$16.50 | ||||||
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2 4 6 |
$16.50 | ||||||
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2 4 6 |
$16.50 | ||||||
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2 4 6 |
$16.50 | ||||||
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Single Ended Probe
$14.50 each |
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Quantity |
Handle Sizes: (circle one) |
Instrument Name/Number/Style | Price |
Total |
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2 4 6 |
$14.50 | ||||||
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2 4 6 |
$14.50 | ||||||
| Total | $ | ||||||
| Doctor: | Phone: | ||||||
| Address: | Suite: | ||||||
| City: |
State: |
Zip: | Contact: | ||||
| Please mail, fax, email or call your order in. Shipping will be added to your invoice. | |||||||
The Sharpening Company
3702 W. Sample St., Suite 1105, South Bend, IN 46619
Toll Free: 877-4TSharp (487-4277) Tel: 574-232-9348 Email: info@tsharp.com