Information and Samples
For Licensed Dentists Only

Use the form below to request the Issaquah Dental Lab Introduction Kit. If the product or service you are interested in is not listed below please use the SPECIAL REQUESTS blank at the bottom of form.
IDL Information Request Form
Please select from the choices below and then fill out the necesary mailing information. Please note: Any information you give here is confidential and will not be shared with anyone else.
PLEASE SEND ME THE FOLLOWING:
FREE IDL General Information Kit
Click Here to see full list of Info Kit Contents
FREE 3M ESPE Lava
Laminated Prep Guide
& Clinicals
WOW / NEO Trays Cost: $42.00 + tax per box • We will contact you for payment information • Please include your phone number on the form below
FREE Metal-Free
Restorative Options Guide
250 Bio Hazard Bags Cost: $42.50 • We will contact you for payment information • Please include your phone number on the form below
Your Name:
Company:
Address:
City:
State:
Zip Code :
Phone:
Fax::
Your eMail:
How did you hear about Issaquah Dental Lab?

Special Requests:

 


Site Map Available Here
425.392.5125 • Toll Free 800.779.5125 • Fax 425.313.0933 • 640 NW Gilman Blvd. , Issaquah WA 98027 • lsge@issaquah-dl.com
© 2001 Issaquah Dental Lab