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Sign Up For A Free Sample Today!


While supplies last!

Choose a free:

  • Impregum™ Intra-oral Syringe Trial Pack or
  • Imprint™ 3 Intra-oral Syringe Trial Pack.

These trial packs are not for retail sale.


Choose 1 free trial pack:

Impregum™ Intra-oral Syringe Trial Pack (for Polyether)
Contains 3 unfilled purple syringes (MSRP n/a)

Imprint™ 3 Intra-oral Syringe Trial Pack (for VPS)
Contains 3 unfilled green syringes (MSRP n/a)


To place your order, please complete the following:


ALL FIELDS ARE REQUIRED

Business Name:

First Name:

Last Name:

National Provider Identifier (NPI) Number: (XXXXXXXXXX) 10 digits, no hyphens or spaces - this should be your individual NPI number, not your practice NPI number

Ship To Address - Sorry, we cannot ship to P.O. boxes.

Street:

City:

State:

Zip Code: (XXXXX) 5 digits, no hyphens or spaces

Business Phone: (XXXXXXXXXX) 10 digits, no hyphens or spaces

Email: ()

Confirm Your Email Address: ()

Where did you hear about this offer?

Please check here if you wish to receive future email communications about other products and promotions from 3M ESPE.


Limited to one free trial pack per customer.

Product will not be shipped to addresses outside of the United States.

Please allow 3-5 weeks for delivery of your free product.

3M ESPE reserves the right to discontinue or change these offers at any time. It is the doctor’s obligation to properly report and appropriately reflect any free product on their submissions to Medicare/Medicaid/private insurance.

This information will be used only to respond to your request and in accordance with 3M’s privacy policy found at www.3M.com/privacy.

Customer Care Center: 1-800-634-2249

3MESPE.com