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If You're Ordering Samples for the First Time. . .
Just print out this form and FAX or mail it to ExtendBar.
The information provided will help us
determine the best sampling program for your practice.
As soon as we receive this form, and
confirm your business information, we will send out your
first professional sample kit, normally within one week.
When you need more samples, log on to
www.extendbar.com to order more.
If you would like to contact a professional at ExtendBar, click
here.
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