Request Samples

We are happy to send samples of our products to dental offices for their trial prior to purchase. To request samples of our products for your dental office, we provide several options: OPTION 1: fill out and submit our easy to use online form; OPTION 2: download our sample order PDF and fill out to mail or fax to back to us; or OPTION 3: contact our customer service representatives.

All of our products come with a 100% customer satisfaction guarantee, so you can purchase with confidence.

Once you try your samples, you may purchase them through your authorized dental distributor.

Don’t forget to take advantage of our promotions!

 

    Specify Handpiece / Cup

    Midwest Shorty® or Rhino®

    Soft CupFirm Cup

    Star® Titan®

    Soft CupFirm Cup

    Specify Cup

    Soft CupFirm Cup

    Specify Cup

    Soft CupFirm CupTapered BrushPlus Spiral Soft CupPlus Spiral Firm Cup

    Specify Cup

    Soft CupFirm CupPlus Spiral Soft CupPlus Spiral Firm Cup

    Specify Flavor & Grit

    Mint

    FineMediumCoarseExtra Coarse

    Cherry

    FineMediumCoarse

    Bubblegum

    FineMediumCoarse

    Tropical Fruit

    FineMediumCoarse

    Grape

    FineMediumCoarse

    Chocolate Mint

    MediumCoarse

    Cinnamon Burst

    MediumCoarse

    Vanilla

    FineMediumCoarse

    Watermelon

    FineMediumCoarse

    Wintergreen

    FineMediumCoarse

    Spearmint

    FineMediumCoarseExtra Coarse

    Raspberry

    MediumCoarse

    Strawberry

    MediumCoarse

    Orange-Vanilla

    MediumCoarse

    Specify Grit

    Medium

    Specify Flavor

    SpearmintStrawberryMelonBubblegumCaramel

    Specify Flavor & Grit

    Mint

    MediumCoarse

    Cherry

    MediumCoarse

    Bubblegum

    MediumCoarse

    Variety Pack

    MediumCoarse

    Orange-Vanilla

    MediumCoarse










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    Please note that multiple requests for samples from the same office will not be honored due to limited sample and postage budgets. We hope you understand this simple reality.

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    Pick How to Order Samples

    OPTION 1: Submit Online Form
    For Professional Use Only!
    OPTION 2: Mail/Fax PDF Form
    Click here to download form >>
    Mail or fax back to our office Fax: 704-849-2417 Preventech
    4330-C Matthews-Indian Trail Road
    Indian Trail, NC 2807
    OPTION 3: Contact Us Directly
    Call Customer Service: 1-800-474-8681 Email: customerservice@preventech.com