Dental Equipment and Supplies from Atop Dental

Office Name *

Practioner's Name *

Phone *

Email *

Country *

Postal Code *

Province *

City *

Street *

Qty

Card Type *

Card Number *

Expiration *

Security Code *

Card Holder *

Clear the Signature

1. Customer is responsible for shipping both ways for trade in program.
2. Trade in offer is only applicable to Piezo units only.
3. Customer has the option of shipping piezo/cavitron units to ATOP Dental at their own cost using their own courier service. However, will still be charged for return shipping.
4. ATOP Dental is not responsible for any incorrect information that is written on the form.
5. Trade in offer cannot be combined for any discounts or other offers. (including gift cards)
6. ATOP Dental does provide a UPS Label however, you will be charged for the cost of using the UPS Label.
7. If you choose to use the UPS Label, you must call UPS at 1-800-742-5877 ask for a NEXT DAY PICKUP.

I agree to Customers may ship back items with a courier of their choice but will be responsible for any fees, duties, and taxes that may apply.

Yes, I have read and agree to the Atop Trade in Term and Conditions