PAGE  ITEM  #  PRODUCT  NAME  QTY  PRICE  ADA  Member  Service  Center  is  here  to  serve  you.  Simply  call  800.947.4746  to  reach  our  Member  Service  Advisors.  They  will  be  happy  to  assist  you  with  personalizing  products,  shipping,  returns  and  more.  Order  Form  It’s  easy  to  order!  ONLINE  you  can  find  these  great  products  and  more  at  ADAstore.org.  Got  questions  while  browsing?  Email  us  at  store@ADA.org  or  click  the  Live  Chat  button.  CALL  our  Member  Service  Advisors  at  800.947.4746  weekdays,  7  a.m.  to  6  p.m.  CT.  Please  have  your  order  information,  ADA  number  and  credit  card  on  hand.  FAX  credit  card  orders  to  312.440.3542,  day  or  night.  MAIL  your  order  to  the  address  below.  Be  sure  to  include  your  ADA  number,  street  address,  daytime  phone  number  and  email  address  on  a  separate  sheet.  Prepayment  must  be  included  with  mail  orders.  Checks,  Visa,  MasterCard  or  American  Express  are  accepted.  American  Dental  Association  211  East  Chicago  Ave.  Chicago,  IL  60611-2678  Attn:  Member  Service  Center  ©  2022  American  Dental  Association  PRICES  To  qualify  for  ADA  Member  prices,  be  sure  your  ADA  number  is  included  with  your  order.  Retail  prices  are  50%  higher  than  member  prices.  (Non-profit  organizations,  U.S.  governmental  agencies,  constituent  and  component  dental  societies,  higher  education  intuitions  and  other  recognized  professional  dental  organizations  enjoy  the  privilege  of  ADA  Member  prices.)  Occasionally,  prices  may  change  without  notice.  To  check  current  pricing,  visit  ADAstore.org.  BULK  ORDERS  Buy  in  bulk  and  save!  To  request  pricing  for  print  and  digital  content  for  your  organization,  contact  ADA  Special  Accounts  at  SpecialOrdersPDS@ADA.org  or  312.440.4649.  PAYMENT  We  accept  Visa,  MasterCard  and  American  Express.  Checks  are  also  accepted  for  mail-in  orders.  RUSH  ORDERS  If  you  call  by  11  a.m.  CT,  overnight  or  2nd  day  air  service  is  available  within  the  contiguous  48  United  States.  Please  call  to  order.  SHIPPING  We  ship  to  the  48  contiguous  United  States,  U.S.  non-continental  states  and  territories,  Canada  and  Mexico.  Shipping  charges  may  be  higher  for  U.S.  non-continental  states  and  territories,  Canada  and  Mexico.  For  a  quote  of  shipping  and  handling  charges,  please  call  800.947.4746  or  email  store@ADA.org.  At  time  of  printing,  we  ship  mainly  via  UPS.  US  Postal  Service  (USPS)  is  available  for  Alaska,  Hawaii,  Puerto  Rico  and  the  U.S.  Virgin  Islands.  RETURNS  &  EXCHANGES  If  you  choose  to  return  an  item,  please  call  our  Member  Service  Advisors  and  let  us  know  if  you  want  a  replacement,  refund  or  an  exchange.  Please  return  items  in  the  original  packaging.  Include  customer  name,  order  number  and  reason  for  return.  Original  shipping  and  handling  charges  will  not  be  refunded.  If  an  item  arrives  to  you  damaged,  please  contact  our  Member  Service  Advisors  immediately  for  a  replacement.  GUARANTEE  Your  complete  satisfaction,  both  in  the  quality  of  merchandise  and  in  the  way  we  handle  your  order,  is  very  important  to  us.  If  you  are  not  completely  satisfied  with  your  ADA  product,  simply  return  it  within  90  days  for  a  full  refund  of  merchandise  costs.  Pricing  is  subject  to  change.  SUBTOTAL  $  PROMO  DISCOUNT  $  TAX  (Your  order  may  be  subject  to  local  taxation)  $  SHIPPING  $  TOTAL  $  The  advantage  of  ADA®  credit  cards:  Visit  adavisa.com  to  apply  today!  1  Some  restrictions  apply.  See  adavisa.com  for  full  details.  5X  POINTS  on  co-endorsing  state  and  endorsed  partners  purchases  when  using  your  business  card1  2X  POINTS  on  co-endorsing  state  society  purchases  when  using  your  personal  card1  Additional  ADA  Services  ADA  Licensing  Custom  Research  Find  clear  answers  with  data  and  geo-analytics  tailored  to  your  state,  county  or  ZIP  code.  Expert  Speakers  Engage  live  or  virtual  audiences  with  custom  presentations  by  HPI  researchers  for  your  organization.  Special  Industry  Events  Attend  industry  events  hosted  by  experts  from  HPI  for  access  to  timely,  exclusive  information  on  topics  impacting  the  dental  care  sector.  Industry  Reports  Explore  easy-to-read  reports  that  deliver  the  insights  you  need  to  make  sound  decisions.  Learn  More  ADA.org/HPIConsulting  312.587.4730  |  HPIConsulting@ADA.org  ADA  Health  Policy  Institute  Consulting  for  Dental  Industry  Data-Driven  Guidance  to  Power  Your  Business  Get  the  dental  industry  data  your  business  needs  to  drive  strategic  decisions  with  the  ADA’s  Health  Policy  Institute  (HPI).  A  thought  leader  for  data  and  research  on  critical  issues  affecting  the  U.S.  dental  care  system,  HPI  Consulting  is  on  the  forefront  of  collecting  and  analyzing  proprietary,  real-time  data  that  can  provide  research  pathways  to  inform  the  problems  your  organization  most  needs  to  solve.  If  you  are  interested  in  integrating  ADA  content,  images  and  videos  into  practice  management  software,  LMS  platforms  or  for  other  uses,  please  email  SpecialOrdersPDS@ADA.org  to  discuss  options.  ORDER  BY  PHONE:  800.947.4746  97  96  ORDER  ONLINE:  ADASTORE.ORG  
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