Pentamix Choice Program

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1 Pentamix Choice Program To qualify: must purchase a minimum of one (1) product from a minimum of two (2) different Featured Products categories. Purchase additional products on the form to meet a total purchase minimum of $1,800 (suggested retail price) to receive one (1) Pentamix 3 Automatic Mixing Unit FREE OR a purchase minimum of $1,200 (suggested retail price) to receive one (1) Pentamix Lite Automatic Mixing Unit FREE. Pentamix 3 Automatic Mixing Unit MSRP $2, Pentamix Lite Automatic Mixing Unit MSRP $1,339.00

2 1 FEATURED PRODUCT CATEGORY #1 Cements RelyX Ultimate System Kit $ RelyX Ultimate Trial Kit, Translucent $ RelyX Ultimate Trial Kit, A1 $ RelyX Ultimate Refill, A1 $ RelyX Ultimate Refill, A3O Opaque $ RelyX Ultimate Refill, Bleach 0.5 $ RelyX Ultimate Refill, Translucent $ RelyX Ultimate Mixing Tips, Regular (30) $ RelyX Ultimate Mixing Tips, (1) Bag, (10) each Wide & Endo $ RelyX Ultimate Mixing Tips, (1) Bag, (10) each Wide & Intra Oral $ RelyX Unicem 2 Automix Mixing Tips, Regular (30) $ RelyX Unicem 2 Automix Mixing Tips, Wide (15) and Endo (15) $ RelyX Unicem 2 Automix Mixing Tips, Wide (15) and Intra-oral (15) $ RelyX Unicem 2 Automix Self-Adhesive Resin Cement Refill A2 Universal $ RelyX Unicem 2 Automix Self-Adhesive Resin Cement Refill A3 Opaque $ RelyX Unicem 2 Automix Self-Adhesive Resin Cement Refill Translucent $ RelyX Unicem 2 Automix Self-Adhesive Resin Cement, Value Pack, A2 Universal $ RelyX Unicem 2 Automix Self-Adhesive Resin Cement, Value Pack, A3 Opaque $ RelyX Unicem 2 Automix Self-Adhesive Resin Cement, Value Pack, Translucent $ RelyX Unicem 2 Self-Adhesive Resin Cement in the Clicker Dispenser, A3 Opaque $ RelyX Unicem 2 Self-Adhesive Resin Cement in the Clicker Dispenser, A2 $ RelyX Unicem 2 Self-Adhesive Resin Cement in the Clicker Dispenser, Translucent $ RelyX Luting Plus Automix Cement, Value Pack $ TK RelyX Luting Plus Automix Cement, Trial Kit $ RelyX Luting Plus Automix Tips, Refill $ RelyX Luting Plus Cement Clicker Refill $ TK RelyX Luting Plus Cement Clicker Dispenser, Trial Kit $ RelyX Fiber Post 3D Glass Fiber Post Introductory Kit $ RelyX Fiber Post 3D Glass Fiber Post Trial Kit with RelyX Unicem 2 Automix Cement $ RelyX Fiber Post 3D Glass Fiber Post and Core Build-up Kit with RelyX Unicem 2 Automix Cement $ RelyX Fiber Post 3D Glass Fiber Post, size 0 (1.1 mm dia), white (10 posts) $ RelyX Fiber Post 3D Glass Fiber Post, size 1 (1.3 mm dia), yellow (10 posts) $ RelyX Fiber Post 3D Glass Fiber Post, size 2 (1.6 mm dia), red (10 posts) $ RelyX Fiber Post 3D Glass Fiber Post, size 3 (1.9 mm dia), blue (10 posts) $ RelyX Fiber Post, size 0 (1.1 mm dia), white (10 posts) $ RelyX Fiber Post, size 1 (1.3 mm dia), yellow (10 posts) $ RelyX Fiber Post, size 2 (1.6 mm dia), red (10 posts) $ RelyX Fiber Post, size 3 (1.9 mm dia), blue (10 posts) $ RelyX Fiber Post Drill Refill, size 0 (1.1 mm dia), white (1 drill) $ RelyX Fiber Post Drill Refill, size 1 (1.3 mm dia), yellow (1 drill) $ RelyX Fiber Post Drill Refill, size 2 (1.6 mm dia), red (1 drill) $ RelyX Fiber Post Drill Refill, size 3 (1.9 mm dia), blue (1 drill) $ RelyX Fiber Post Universal Drill Refill (1 universal drill) $ FEATURED PRODUCT CATEGORY #2 Impression Materials 10771PP Imprint 3 Penta Putty $ PH Imprint 3 Penta Heavy Body Refill $ PH Imprint 3 Penta Quick Step Heavy Body Refill $ Imprint 3 Garant Light Body Refill $ Imprint 3 Garant Regular Body Refill $ Imprint 3 Garant Ultra Regular Body Refill $ Imprint 3 Garant Quick Step Light Body Refill $ Imprint 3 Garant Quick Step Regular Body Refill $ Imprint 3 Garant Quick Step Ultra Regular Body Refill $125.15

3 2 FEATURED PRODUCT CATEGORY #2 CONTINUED Impression Materials Imprint 4 Preliminary VPS Preliminary Economy Pack $ Imprint 4 Preliminary VPS Preliminary Super Quick Economy Pack $ Imprint 4 Preliminary VPS Preliminary Bulk Pack $ Imprint 4 Preliminary VPS Preliminary Super Quick Bulk Pack $ Imprint 4 Preliminary Penta VPS Preliminary Refill $ Imprint 4 Preliminary Penta VPS Preliminary Super Quick Refill $ Imprint 4 Preliminary Penta VPS Preliminary Value Pack $ Imprint 4 Preliminary Penta VPS Preliminary Super Quick Value Pack $ Imprint 4 Bite Refill $ Imprint 4 Penta VPS Heavy Body Introductory Kit $ Imprint 4 Penta VPS Heavy Body Refill $ Imprint 4 Penta VPS Super Quick Heavy Body Introductory Kit $ Imprint 4 Penta VPS Super Quick Heavy Body Refill $ Imprint 4 Penta VPS Putty Introductory Kit $ Imprint 4 Penta VPS Putty Refill $ Imprint 4 VPS Heavy Body Introductory Kit $ Imprint 4 VPS Heavy Body Economy Pack $ Imprint 4 VPS Heavy Body Refill $ Imprint 4 VPS Regular Body Refill $ Imprint 4 VPS Light Body Refill $ Imprint 4 VPS Super Quick Heavy Body Introductory Kit $ Imprint 4 VPS Super Quick Heavy Body Economy Pack $ Imprint 4 VPS Super Quick Heavy Body Refill $ Imprint 4 VPS Super Quick Regular Body Refill $ Imprint 4 VPS Super Quick Light Body Refill $ Impregum Garant Soft Tray Introductory Kit $ Impregum Garant Soft Quick Step Tray Introductory Kit $ Impregum Garant Soft Tray Refill Pack (4-cartridges) $ Impregum Garant Soft Quick Step Tray Refill Pack (4-cartridges) $ P31685 Impregum Penta Medium Body Introductory Kit P3 $ P31771 Impregum Penta Soft Quick Step Medium Body Introductory Kit P3 $ P31779 Impregum Penta Soft Quick Step Heavy Body/Light Body Introductory Kit, P3 $ P31739 Impregum Penta Soft Heavy Body/Light Body Introductory Kit, P3 $ P31735 Impregum Penta Soft Medium Body Introductory Kit, P3 $ Impregum Penta Medium Body Refill $ Impregum Penta Soft Medium Body Refill $ Impregum Penta Soft Quick Step Medium Body Refill $ Impregum Garant Soft Quick Step Light Body Refill $ Impregum Penta Soft Quick Step HB Refill $ Impregum Penta Soft HB Refill $ Impregum Penta Soft Light Body Refill $ Impregum Garant Soft Light Body Refill $ Paradigm Penta Heavy Body VPS $ Paradigm Penta Heavy Body Fast Set VPS $ Paradigm Light Body Refill VPS $ Paradigm Light Body Fast Set Refill VPS $ Paradigm Regular Body Refill VPS $ J Paradigm Heavy Body Jumbo Pack VPS $ J Paradigm Heavy Body Fast Set Jumbo Pack VPS $ Paradigm Monophase Medium Body Refill $ Paradigm Regular Body Fast Set VPS $ Paradigm Heavy Body Refill VPS $ Paradigm Heavy Body Fast Set VPS $ Permadyne Penta Heavy Body Refill $ Permadyne Penta Light Body Refill $614.35

4 3 FEATURED PRODUCT CATEGORY #3 Impression Material Accessories M Retraction Capsule Refill Pack (25-count) 3M Retraction Capsule Value Pack (100-count) 3M Intra-oral Syringe Purple, Refill Pack (50) 3M Intra-oral Syringe Green, Refill Pack (50) 3M Penta Mixing Tips Red, Refill Pack $93.60 $ $77.90 $ Directed Flow Impression Tray Refills, Medium Lower (10) Directed Flow Impression Tray Refills, Large Lower (10) P3792 Impregum Penta $62.25 P3788 Impregum Penta Soft MB $ $69.35 P3794 Impregum Penta Soft HB $ Garant VPS Mixing Tips, Yellow (50) $56.80 P3796 Impregum Penta Soft LB $59.85 Garant VPS Intraoral Mixing Tips, $35.20 Yellow (50) P3776 Impregum Penta Soft QS MB $ Garant VPS Mixing Tips, Green (50) $56.80 P3774 Impregum Penta Soft QS HB $ Garant Intraoral Tips, Bite, Clear (50) $ Imprint 4 Penta HB $ Garant Polyether Mix Tips, White (50) $ Imprint 4 Penta SQ HB $ N Garant Polyether Intraoral Tip, White (50) $ Imprint 4 Penta Putty $ Garant Polyether Mixing Tips, Purple (50) $ Imprint 4 Preliminary Penta $ Small Upper (10) Imprint 4 Preliminary Penta SQ $ Medium Upper (10) Large Upper (10) Small Lower (10) Penta Cartridge for Pentamix Lite Universal Cartridge for Pentamix 3 Universal Cartridge for Pentamix 2 $69.35 $62.25 $ FEATURED PRODUCT CATEGORY #4 Provisional Materials Protemp Plus Temporization Material Introductory Kit $ Protemp Plus Temporization Material Refill Pack, Bleach $ Protemp Plus Temporization Material Refill Pack, A1 $ Protemp Plus Temporization Material Refill Pack, A2 $ Protemp Plus Temporization Material Refill Pack, A3 $ Protemp Plus Temporization Material Refill Pack, A3.5 $ Protemp Plus Temporization Material Refill Pack, B3 $ Protemp Crown Temporization Material Refills, Molar Upper Large $ Protemp Crown Temporization Material Refills, Molar Upper Small $ Protemp Crown Temporization Material Refills, Molar Lower Large $ Protemp Crown Temporization Material Refills, Molar Lower Small $ Protemp Crown Temporization Material Refills, Bicuspid Upper Large $ Protemp Crown Temporization Material Refills, Bicuspid Upper Small $ Protemp Crown Temporization Material Refills, Bicuspid Lower $ Protemp Crown Temporization Material Refills, Cuspid Large $ Protemp Crown Temporization Material Refills, Cuspid Small $59.65 PENTAMIX CHOICE Free Offer (Select One) Total of Purchased Products Pentamix 3 Automatic Mixing Unit $ Pentamix Lite Automatic Mixing Unit $

5 1 Retract 3M Retraction Capsule Because a great-fitting restoration should never be a surprise. When it comes to impression making, you don t have to choose between precision and ease of use. The impression procedure from 3M gives you both. It integrates products that function simply, to give you control at every step. And VPS and polyether material choices are designed to enhance your success with everyday procedures and more challenging cases. It s simply a better way to make better impressions. 3M.com/GreatImpressions 2 Syringe 3M Intra-oral Syringe 3 Impress Imprint 4 VPS Impression Material

6 To submit for your free goods, please send this completed form and a copy of your invoice showing proof of purchase to your 3M Oral Care sales representative. Please provide complete shipping information, including business phone. (please print) Business Phone Fax Doctor Name Business Address City State ZIP Please check the appropriate box if you do not wish to receive communications from 3M Oral Care via Fax or Purchased from 3M Oral Care Authorized Distributor 3M Oral Care Sales Representative: Fax Offers are valid in the United States. Please allow 2 3 weeks for delivery. 3M Oral Care reserves the right to discontinue or change these offers at any time. Offers cannot be combined. Pricing is subject to change. Products must be purchased together on one invoice dated January 1, 2017 June 30, 2017 (multiple invoices are accepted from a single purchase order when order cannot ship complete). Redeem by July 31, It is the doctor s obligation to properly report and appropriately reflect any extra product on their submissions to Medicare/Medicaid/private insurance. No returns or exchanges on free equipment will be accepted. Offer void if purchased product is returned. Find a U.S. authorized 3M Oral Care distributor at: 3MESPE.com/authorizeddealers * This information will be used only to provide you with information about 3M products and in accordance with 3M s privacy policy found at 3M.com/privacy.jhtml 3M.com/dental 3M Oral Care 2510 Conway Avenue St. Paul, MN USA Phone Web 3M.com/dental 3M Canada Post Office Box 5757 London, Ontario N6A 4T1 Canada M, ESPE, Garant, Impregum, Imprint, Paradigm, Penta, Pentamix, Protemp and RelyX are trademarks of 3M or 3M Deutschland GmbH. Used under license in Canada. 3M All rights reserved.

Pentamix Choice Program

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