CAOGROUP DENTAL CAOGROUP DENTAL
  
Dental > Sample Request

We are delighted to send samples of our market leading products and other product information! Please complete the form below. Please note that the FDA classifies some of our products as 'Rx Only' and require that we obtain your signature before shipping. Click on the box for each product desired. When you click on the SUBMIT button, the FDA Sample Request Form will pop up. Please print, sign and fax it to CAO Group; we will send the requested samples upon receipt of this form; the other products will ship automatically.                  (* is a required field)
* First Name :
 * Last Name :
* Practice Name :
* License # :
* Practice Address :
* City :
 * State :
 * Zip :
* Phone Number :
Henry Schein Dental Sales Representative :
Type of Practice:
Number of:
Doctors
 Hygienists Operatories

Products:
Enter quantity, max. 25 ea.
Sheer White™
FastFix™
Brush Tips™


FDA Controlled Products:
The FDA classifies some of our products as Rx only and require that we obtain the doctor's signature before shipping. Click on the box for each product desired. When you click on the SUBMIT button below the FDA Sample Request Form will pop up with the doctorss information. You can either email it to your customer or print it and give it to your customer. Have them sign and fax the form to CAO Group; we will send the requested samples upon receipt of form.


Sales Materials:




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