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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)

  • 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
   
                        $10    $50-100 sales    
  Total Due             

 

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:__________________