Dent-Line of Canada Inc. Toll Free 1-800-896-6544 (for Canada only) 416-858-9865 or Fax No. 416-858-9899

4 Convenient Ways to Order

1) FAX: the Order Form with Credit Card info to (905)775-9874

2) For customers with accounts,  E-MAIL with the complete Order information

3) CALL: (800)250-5111 in Canada. Outside Canada, (905)775-4652, and order by Credit Card

4) MAIL: Print a copy of the ORDER FORM below and send it with your
Check, Money Order or Credit Card information to:

Dent-Line of Canada Inc.
R.R. # 2 Bradford, Ontario,
Canada, L3Z 2A5

ORDER FORM
 

Company Name (if applicable):
Contact Person:
Phone Number: 
Fax Number:
E-mail Address: 
Below
please enter Cardholder’s Billing Address exactly as shown on Credit Card
Statement.
Cardholder’s Name as on card: 
Street Address: 
City:
Province or State:
Country:
Postal Code or Zip Code:

Each $3.99
1 dozen ONLY $46.95 receive one tooth brush free – $3.99 value!
SHIPPING CHARGE PER ORDER $6.00 for inside Canada and U.S.A.
PST – 8% in Ontario
GST – 7%, except New Brunswick, Nova Scotia & Newfoundland
GST – 15% for New Brunswick, Nova Scotia & Newfoundland only
visa

Card Holder Name 
Card Number (No spaces)
Expiration Date (i.e. 12/99)

Dent-Line of Canada
R.R. # 2 Bradford,
Ontario, Canada, L3Z 2A5
1-800-859-7589 or 1-905-775-4698