To Place Your Order:
1. Use our website: www.net32.com
2. Fax your order to us at 919-468-1178
3. Call Customer Service at 1-800-517-1997

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Free shipping indicated here according to vendor shipping policies.
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Net32 Feature Focus

Only at www.net32.com can you shop 24/7 to compare pricing on the widest selection of dental products. One of our most popular product categories is Cosmetic Dentistry. This category includes virtually all top selling national brand composites and bonding agents.

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Company Profile - Manufacturers

Your Contact Information:

Company Name:
Person Completing Form:
Job Title:
Address:
 
State:
ZIP Code:
Telephone:
Fax:
Email:
Web Site:
Description of
Product Line:
Approx. number of products carried by your company:
Proprietary products? All Other
Are these products currently offered for sale on your Web site? All Some
Details
Current Sales Channels (Check all that apply):
Distributors
Full Line Vendors
Direct to Dentist
How can we view your full product line?
View our Web site at
Catalog is being sent to Net32.
Other        Details

Your Shipping Policy:

Can you process Visa? Yes No
Can you process MasterCard? Yes No
Uniform or standard shipping charges are: $ Other:
Threshold for free shipping is: $ N/A
Do you have products that have additional shipping charges?
For example, heavy items or hazardous materials: Yes No
Other shipping policies: