The Smarter Edge 7416 Lagrange DriveRaleigh, NC 27613sharpen@thesmarteredge.com Contact Name * First Name Last Name Dental Office Name * Phone * (###) ### #### Email to send Invoice * Shipping Address or Pick Up and Delivery Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Instruments to be Sharpened (Please do not send more than 75 instruments) * Scalers: Curettes: Total Instruments: Checkbox * Are instuments Sterilized? Is Order Form filled out and if mailing in placed in the box? Circle Service Type: Mail In or Pick up/Delivery Did I read and Agree to the Service Agreement? For The Smarter Edge Use Only Scalers: Curettes: Returned No Charge: S/H: Admin. Fee : Total Cost: Thank you!
