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EMERGENCY
DENTAL FIRST AID KIT FOR TRAVELERS
 

ORDER FORM

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There are four easy ways to order your Emergency Dental First Aid Kit for Travelers:

1. Order and pay through
2. Complete our secure on-line order form below.

3. By mail, send your name, shipping address, quantity ordered and check to:

Dental First Aid Kit
Robert A. Searles, DDS, PC
35 Castle Coakley
St Croix, VI 00820

For quantity orders, please contact us at dentkit@dentalkitfortravelers.com.

Secure On-Line Order Form

Send    * Dental First Aid Kit(s) for Travelers @ $34.95 plus
  $7.95 per kit shipping and handling for Priority Mail in the Continental US or
$19.95 per kit shipping and handling for Global Priority Mail outside the Continental US.
Send to:
Name*:
Address or P.O. Box*:
City*:
State*:
Zip Code*:
Country*:
E-Mail Address*:
Phone*:


Bill to:
Credit Card*: MasterCard        VISA  
Credit Card #*:
3 digit security # (on back)*:       what's this?
Exp. Date*: Month:        Year: 


Billing Address (if different from above):
Name on Credit Card:
Billing Address:
City:
State:
Zip Code:
Country:
 
* Required Fields




All domestic orders will be sent by U.S. Priority Mail
International orders will be sent by Global First Class or Priority Mail

Dental First Aid Kit, Robert A. Searles, DDS, PC, 35 Castle Coakley, St Croix, VI 00820

email: dentkit@dentalkitfortravelers.com

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