Avtec Dental America's Handpiece Specialists

Handpiece Repair Form


AVTEC DENTAL
501 Bramson Court, Suite 302
Mount Pleasant, SC 29464 U.S.A.
Toll Free: 888.688.3855 / Fax: 843.884.3325


Your Contact Information













Handpiece Information Item 1
          
Item 2
          
Item 3
          
Item 4
          
Item 5
          
Shipping Information
Please Send Free UPS Mailer Kit
Prepaid UPS Label - Faxed
Prepaid UPS Label - Emailed
I will ship myself
 


After submitting the form, please print out two copies of this form:
1) For your records
2) To include with repair package