SWISSPLUS ORDER FORM

Ta p e r e d S w i s s P l u s QTY
SPMB8 SPMB10 SPMB12 SPMB14 SPB8 SPB10 SPB12 SPB14 SPWB8 SPWB10 SPWB12 SPWB14

Tapered SwissPlus and Straight SwissPlus QTY

OPCST OPSUR OP2.3D SV2.3DS OP2.8D SV2.8DS SP3D TSV3DS OP3.5D TLSDS OP4.2D SVWDS SP4D TSV4DS

Tapered SwissPlus and Straight SwissPlus QTY

OPA

MTX*
3.7mmD,3.8mmD,Platform 8mmL 3.7mmD,3.8mmD,Platform 10mmL 3.7mmD,3.8mmD,Platform 12mmL 3.7mmD,3.8mmD,Platform14mmL 3.7mmD,4.8mmD,Platform 8mmL 3.7mmD,4.8mmD,Platform 10mmL 3.7mmD,4.8mmD,Platform 12mmL 3.7mmD,4.8mmD,Platform 14mmL 4.8mmD,4.8mmD,Platform 8mmL 4.8mmD,4.8mmD,Platform 10mmL 4.8mmD,4.8mmD,Platform 12mmL 4.8mmD,4.8mmD,Platform 14mmL

Surgical Kits & Drills

Complete Surgical Kit Surgical Tray Empty 2.3mmD Drill,17mmL 2.3mmD Drill,11mmL

Straight Abutments
Non-Engaging Straight Abutment 4.8mmD X 3.5mm Engaging Straight Abutment 4.8mmD X 3.5mm

OPA2

OPC 2.8mmD Drill,17mmL 2.8mmD Drill,11mmL 3.4/2.8mmD Step Drill,17mmL OPA/6 3.4/2.8mmD Step Drill,11mmL 3.5mmD Drill,17mmL 3.5mmD Drill,11mmL 4.2mmD Drill,17mmL 4.2mmD Drill,11mmL 4.4/3.8mmD Drill,17mmL 4.4/3.8mmD Drill,11mmL FMTM2 OPA/5

Plastic Waxing Coping Engaging Straight Abutment/Transfer 4.8mmD X 5.2mm Engaging Straight Abutment/Transfer 4.8mmD X 6.0mm Engaging Straight Abutment/Transfer 3.8mmD X 4.6mm

Other QTY Description

Straight SwissPlus QTY

OPB8 OPB10 OPB12 OPB14 OPWB8 OPWB10 OPWB12 OPWB14

MTX*
4.1mmD,4.8mmD,Platform 8mmL 4.1mmD,4.8mmD,Platform 10mmL 4.1mmD,4.8mmD,Platform 12mmL 4.1mmD,4.8mmD,Platform 14mmL 4.8mmD,4.8mmD,Platform 8mmL 4.8mmD,4.8mmD,Platform 10mmL 4.8mmD,4.8mmD,Platform 12mmL 4.8mmD,4.8mmD,Platform 14mmL OPAR

Tapered SwissPlus and Straight SwissPlus QTY

OPT/5 OPT/6 SPMT OPR SPMR

Transfers & Replicas

Indirect Transfer, 4.8mmD X 5.2mm Flare Indirect Transfer 4.8mmD X 6.0mm Flare Indirect Transfer 3.8mmD X 4.6mm Flare Replica,4.8mmD Platform Replica,3.8mmD Platform Narrow Abutment / Shoulder Replica,4.8mmD

Tapered SwissPlus and Straight SwissPlus QTY Surgical Cover Screws

SPSCS SPSC SPSCL OPSCS OPSC OPSCL OPWSC OPWSCL 3.8mmD,1.0mmL,4.6mmD Flare 3.8mmD,2.0mmL,4.6mmD Flare 3.8mmD,3.0mmL,4.6mmD Flare

*Call for availability.

Customer Account Ship To: Dr. Name Phone ( )

Ship Via Federal Express H 2 Day H Overnight (5:30 p.m.) Must Arrive By

H P1 (10:30 a.m.)

4.8mmD,1.0mmL,5.2mmD Flare

Address
4.8mmD,2.0mmL,5.2mmD Flare 4.8mmD,3.0mmL,5.2mmD Flare

Payment Options H Invoice H COD H Visa H MasterCard H AmEx Credit Card #

City
4.8mmD,2.0mmL,6.0mmD Flare

Exp.Date Zip Signature

State
4.8mmD,2.0mmL,6.0mmD Flare

Order Date Ordered By

w w w. c e n t e r p u l s e - d e n t a l . c o m

Fax Orders To: (888) 225.2483

1900 Aston Avenue,Carlsbad,CA 92008-7308 (800) 854.7019

SwissPlus // parts you will need

Immediate Impressions Immediate Restorations Immediate Loading
Implant, Replica Implant, Replica Hader Bar: Implants (Qty. 4), Replicas (Qty. 4), Gold Copings (Qty. 4), Round Gold Bar & Clips Dolder Bar: Implants (Qty. 4), Replicas (Qty. 4), Gold Copings (Qty. 4), Dolder Gold Bar

download order form

Hader Clip Kit: Implants (Qty. 4), Replicas (Qty. 4), Gold Copings (Qty. 4), Hader Clip Bar System