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Fluoride for Your Family
"Welcome To Our Fluoride Order Center"
If you are unable to visit our office, you can begin to strengthen
your teeth at home by ordering our at home fluoride
products online.
Our great intro deal for $ 39.00 includes:
-
One bottle Lozi-Flur Lozenges (recommended
for adults and teens only at a dosage of one tablet
dissolved in mouth per day)
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One tube of Fluoride Topical Gel (recommended for
all ages, brush on enamel 2-3 drops of fluoride gel
with your toothbrush after brushing with toothpaste.
Do this once per day, preferably at at night. Spit out
fluoride, do not swallow, especially in young children.
Products Order Form
Print these two forms and mail with your check
or credit card information with your shipping information.
For each product you wish to order, check the checkbox to the left of
the line and specify the desired quantity in the Qty box on the right.
|
a |
Item |
Unit Price |
Qty |
| |
Lozi-Flur Lozenges: 90 tablets |
$29.00 |
|
| |
Case: 12 Bottles |
$290.00 |
|
| |
Fluoride Topical Gel: 3.4 oz |
$15.00 |
|
| |
Case: 12 Tubes
|
$150.00 |
|
| |
Shipping & Handling Cost
$5 under $50 sales |
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$10 $50-100 sales |
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Total Due |
$ |
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CREDIT CARD INFO &
SHIPPING FORM:
(Please print clearly)
Name as it appears on
Card:____________________________________________
Visa/Master
Card#:_____________________________________________
Expiration date:______/______/______
Voice phone#:___________________(for order verification only)
Mailing address:______________________________________
City____________________ State: ______Zip:____________
Country: _____________E-mail address:__________________
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