Below are two items you will need to print out to get your handpiece to us. You may click on the form image to open the form and type in the information in the blanks, and then print it, or you can "Right Click" and “Save As" a blank form to your computer for printing later.

Work Order Form
Please print this out to give us an idea of what is wrong; what you would like done; and if you prefer a free estimate first. Remember, the PDF is fillable.
US Mail - Postage Paid Mailing Label
Cut this label out and tape it securely to any sturdy box you have in the office. Just give this to your US Postal Carrier and we should receive your handpieces the next day.
Other Methods - Work Order Form & Postage Paid Mailing Label
Please include the following information:
Contact Person
Office name and address
Telephone
Fax number if you want the work order and mailing label faxed to you
Email address if you prefer the work order and mailing label emailed to you