Atop Dental Equipment and Supplies

Return or Exchange Request Form

Please note: Only online successfully submitted forms will be accepted. We don't accept any service requests by fax or email.

Contact Person *

Office Name *

Phone *

Email *

Invoice Number *

Country *

Province(State) *

City *

Street *

Postal Code *

List your returning item and reason(s):

Remove Item

Qty

Item Code

Reasons for Return

Add Return Item

What do you want to exchange for (if applicable)?

Remove Item

Qty

Item Code

Model/Description

Add Exchange Item

For return of the products, you must accept the following statements:

Products must be purchased within the previous fourteen(14) days. Any returns/exchange past fourteen(14) days will apply 15% restocking fee. No returns/exchange after ninety(90) days. Equipment, special, customized, or government-regulated items are not returnable/exchangable. Items must be in resaleable condition (i.e.: original package, unmarked, and unbroken seals). If returned item will affect the gift card, there are two options: return the unused gift card or deduct the gift card amount.