The Ultimate Bond. The Perfect Choice. Take a Closer Look.
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GlasSpan, Inc.
The Commons at Lincoln Center
101 John Robert Thomas Drive
Exton, Pennsylvania 19341-2652 U.S.A
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Telephone:
800-280-SPAN
610-363-7573
Fax:610-363-6391
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| GlasSpan |
Part Number |
Unit Price |
Quantity |
Amount |
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| Standard Kit |
61234 |
$169.00 |
_________ |
$_________ |
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Standard kit includes flexible ceramic strength members for 12 applications: Three each, woven tape, small, medium and large braided rope. Includes GlasSpan Technique Video. |
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| Custom Kit |
69999 |
$169.00 |
_________ |
$_________ |
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Any combination of 4 vials, specify number (below). Includes GlasSpan Technique Video. |
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61000 - braided rope, sm. (3 per vial) |
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62000 - braided rope, med. (3 per vial) |
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63000 - braided rope, lg. (3 per vial) |
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64000 - woven tape (3 per vial) |
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(2 or more tape vials add $5.00 each) |
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| Support Kit |
70000 |
$139.00 |
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$_________ |
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Support kit includes the following composites specifically designed to accompany any fiber reinforcement system. Includes GlasSpan Technique Video. |
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99000-100 - 37% Etchant gel (2mL.) |
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12000-200 - Flowable composite (2mL.) |
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12000-250 - Anterior & Posterior composite (4.5 gr.) |
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Master Clinicians Kit |
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$299.00 |
_________ |
$_________ |
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Master clinicians kit contains one standard kit and one support kit, combined to offer the user all the materials necessary to perform any possible fiber reinforcement procedure. Includes GlasSpan Technique Video.
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GlasSpan Technique DVD |
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$24.00 |
_________ |
$_________ |
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This unique video provides instruction and demonstration of the most commonly used GlasSpan applications.
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SUBTOTAL |
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$_________ |
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| Packing/Postage (see below) |
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$______ |
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TOTAL |
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$______ |
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| For Shipment Within USA, |
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| Add for Packing/Postage: |
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| Subtotal |
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Add |
| Up to $184.00 |
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$10.00* |
| $184.01 - $368.00 |
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$13.00* |
| $368.01 - $598.00 |
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$18.00* |
| $598.00 and Up |
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Please Call |
| *Canadian Shipments, add $3.00 |
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| Credit Card Number |
| _______________________ |
Expiration Date |
| ____________ |
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SHIP TO: Please Print |
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| Name _____________________________ | Mail check with order form or call 800-280-SPAN with your CREDIT CARD information (Visa/MasterCard/AmEx/Discover) |
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| Address____________________________________________________ |
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| City_______________________State_________________Zip_______ |
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| Phone(_____)____________________ |
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B O N D A B L E F I B E R R E I N F O R C E M E N T S Y S T E M
Copyright © 2005 GlasSpan, Inc. All rights reserved.
