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Lab Products Order Form || Glidewell Direct Logo
Minimum Order $25.00 1- 888-303-3975
ARTICULATORS
DESCRIPTION CONTENTS PRICE QTY
Producer Articulator (1) Black $29.00
Dentronics Articulator (1) Blue $29.00
Reusable Thumbscrews (1) Bag of 50 - Black $25.00
Disposable T-nuts (1) Bag of 100 - Metalic $20.00
Magnet Set (1) Upper/Lower $50.00
Magnet Plates (1) Bag of 100 $15.00
Magnet Plates (1) Bag of 1000 $150.00
Disposable Articulator (1) Pack of 100 $15.00
Disposable Articulator (1) Pack of 1000 $150.00


BRUXZIR COLORING LIQUID KIT
DESCRIPTION CONTENTS PRICE QTY
BruxZir Coloring Liquid Kit 16 coloring liquids and 16 empty screw top dipping jars. $595.00


BRUXZIR COLORING LIQUID INDIVIDUAL BOTTLES ($39.95 EACH)
Vita Shade A1 A2 A3 A3.5 A4 B1 B2 B3 B4 C1 C2 C3 C4 D2 D3 D4
QTY


DIAMOND DISC & MANDRELS
DESCRIPTION CONTENTS PRICE QTY
Diamond Disc (1) Fine (Double Sided) $12.00
Diamond Disc (1) Medium (Doubled Sided) $12.00
Diamond Disc (1) Course (Doubled Sided) $12.00
Diamond Disc Mandrel (1) Self-centering (Reusable) $4.00


CROWN BOXES
DESCRIPTION CONTENTS PRICE QTY
Crown Box - Tooth Shaped (1) Blue Pack of 50 $37.50
Crown Box - Tooth Shaped (1) Green Pack of 50 $37.50
Crown Box - Tooth Shaped (1) White Pack of 50 $37.50
Crown Box - Tooth Shaped (1) Red Pack of 50 $37.50
Veneer Box - Upper or Lower (1) Black Pack of 100 $100.00


PRO WAX
DESCRIPTION CONTENTS PRICE QTY
Pro Wax-carving wax (1) Green, 2 ounces $7.00
Pro Wax-carving wax (1) Gray opaque, 2 ounces $7.00
Pro Wax-carving wax (1) Blue, 2 ounces $7.00
Pro Wax-carving wax (1) Tan, 2 ounces $7.00
Pro Wax-carving wax (1) Neutral, 2 ounces $7.00
Pro Wax-diagnostic wax (1) White, 2 ounces $7.00
Pro Wax-diagnostic wax (1) A1, 2 ounces $7.00
Pro Wax-diagnostic wax (1) Translucent white, 2 ounces $7.00
Pro Wax-diagnostic wax (1) Translucent A1, 2 ounces $7.00
Pro Wax-diagnostic wax (1) Translucent blue, 2 ounces $7.00
Pro Wax-diagnostic wax (1) Blue, 2 ounces $7.00
Pro Wax-block out wax (1) Blockout pink, 2 ounces $8.00
Pro Wax-Soft Newport wax (1) Soft Newport, 2 ounces $8.00
Pro Wax-diagnostic wax (1) Diagnostic artist palette, 6 colors $39.00


WAX SPRUES
DESCRIPTION CONTENTS PRICE QTY
Direct wax sprues (1) 8 gauge, Pkg 250 $15.00
Direct wax sprues (1) 10 gauge, Pkg 250 $15.00
Indirect wax sprues (1) 4 gauge, Pkg 100 $22.00
Indirect wax sprues (1) 6 gauge, Pkg 100 $22.00
Indirect wax sprues (1) Horseshoe, Pkg 25 $6.00
Wax buttons (1) Pkg 100 $9.00


WAX PONTICS KIT
DESCRIPTION CONTENTS PRICE QTY
Wax Pontics Kit (1) 180 pcs. per kit – Small, medium and large $69.00


WAX PONTICS REFILLS
DESCRIPTION CONTENTS PRICE SM-QTY MD-QTY LG-QTY
Wax pattern-upper/right posterior (1) Refill, 15 pieces $6.00
Wax pattern-lower/right posterior (1) Refill, 15 pieces $6.00
Wax pattern-upper/left posterior (1) Refill, 15 pieces $6.00
Wax pattern-lower/left posterior (1) Refill, 15 pieces $6.00
Wax pattern-upper anterior (1) Refill, 15 pieces $6.00
Wax pattern-lower anterior (1) Refill, 15 pieces $6.00


ANTERIOR WAX SHELL KIT
DESCRIPTION CONTENTS PRICE QTY
360 Piece Kit Teeth #'s 6-11 $138.00


ANTERIOR WAX SHELL REFILLS (ORDER BY TEETH NUMBER $6.00 EACH)
DESCRIPTION CONTENTS PRICE SM-QTY MD-QTY LG-QTY
Tooth #6 (1) Refill, 15 pieces $6.00
Tooth #7 (1) Refill, 15 pieces $6.00
Tooth #8 (1) Refill, 15 pieces $6.00
Tooth #9 (1) Refill, 15 pieces $6.00
Tooth #10 (1) Refill, 15 pieces $6.00
Tooth #11 (1) Refill, 15 pieces $6.00


SILICONE OCCLUSAL MOLD KIT
DESCRIPTION CONTENTS PRICE QTY
48 Piece Kit (1) Kit $199.00


SILICONE OCCLUSAL MOLD (SMALL REFILL $5.00 EACH)
Tooth # 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
QTY


SILICONE OCCLUSAL MOLD (MEDIUM REFILL $5.00 EACH)
Tooth # 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
QTY


SILICONE OCCLUSAL MOLD (LARGE REFILL $5.00 EACH)
Tooth # 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
QTY


SILICONE OCCLUSAL MOLD (NARROW REFILL $5.00 EACH)
Tooth # 2 4/5 12/13 15
QTY


SILICONE OCCLUSAL MOLD (ROUND REFILL $5.00 EACH)
Tooth # 4/5 12/13
QTY


CUSTOMER INFORMATION
First Name:
Middle Initial:
Last Name:
Company / Practice Name:
Address Type: Company Address
Home Address
Account Number:
Address:
City:
State / Province:
Zip / Postal Code:
Specialty:
Company Phone:
Company Fax:
E-mail Address:
Comments:
 


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