Dental Supplier

Call : 586-983-2502

E-mail : sales@kabdental.com

dental lab equipment Supplies

Call : 800-422-3520

Prices do not Include
Shipping-handling & Installation Charge.

Dental Pres Release
Dental Supplies
Dental Client Testimonials
Dental Clients
 

Credit Card Authorization

Credit card information required with all orders.

Please keep a copy of form for your records before submitting

Full Name :

Company Name :

Address :

City :

State :

Zip code :

Country :

Website :

Order By :

Order Date : ex:24/05/10

Telephone No. :

Fax No. :

Payment Policy

For All Orders :

  • This form must be completely filled out and returned to us so that we may process your order(s)
  • Payment in full on all charges must be made prior to delivery of equipment or execution of services
  • We accept the following payment methods: Cash, check, money order, cashier's check, Visa, MasterCard, American Express and Discover Credit Cards. All payments must be made in U.S. funds only.

Please remit all payments to address shown below.

KAB Dental Inc.
34842 Mound Road
Sterling Heights, MI 48310, U.S.A.
586-983-2502. Fax 586-983-2506
sales@kabdental.com

Credit Card Information

Card Type : Visa MasterCard American Express Discover


Card Account Number :

Expiration Date : ex : 25/05/11

Cardholder's Name :

CVV2 Number :

Bank's Phone No. :

Cardholder's Billing Address :

Cardholder's Signature

 


   

Note : All the fields are mandatory

Minimum Order Requirement