*Terms and Conditions. Offer effective from August 17, 2023 through December 31, 2023. Early bird order must be received by October 20, 2023 and must ship by November 30, 2023. Orders received between October 21, 2023 and December 29, 2023 must ship by January 31, 2024. Rebate form must be submitted back to A-dec customer service by April 1, 2024. Rebate amounts shown are in U.S. dollars and all rebates will be paid in U.S. dollars. Completed rebate form with dealer invoice triggers the rebate process. Rebates will be processed monthly and paid directly to the clinic or doctor named on the invoice. Promotion available in U.S. only. May be combined with Clinic Discount Policy, and Smart Start program, but may not be combined with any other equipment promotions. Orders that are cancelled and rebooked will be rescheduled at current lead times. Returns: credit will be issued on unopened packages, minus 20% restocking fee and/or amount of qualified rebate. Promotional items are subject to product availability. A-dec reserves the right to change or cancel this offer at any time. All prices shown in U.S. dollars. This offer is void where prohibited, restricted, or taxed. Promo not available for National and Large DSOs. Promo is available for Emerging DSOs. ETO orders do qualify but must ship within promotion dates. 
 
 
 
 
 
 
 
 
Contact Information
 
 
 
 
 
First Name*
 
 
 
 
 
 
 
Last Name*
 
 
 
 
 
 
 
Clinic Name*
 
 
 
 
 
 
 
Email*
 
 
 
 
 
 
 
Phone*
 
 
 
 
 
 
 
 
 
 
Mailing Address
 
 
 
 
 
Street 1*
 
 
 
 
 
 
 
Street 2
 
 
 
 
 
 
 
City*
 
 
 
 
 
 
 
State/Province*
 
 
 
 
 
 
 
ZIP/Postal Code*
 
 
 
 
 
 
 
 
 
 
**Rebate Check will be payable to the clinic or doctor named on the dealer invoice**
 
 
 
 
 
 
 
 
Upload Dealer Invoice*
 
 
 
 
 
 
 
*Required fields