Yes, please send me a FREE Futurabond U Sample!

Please complete and submit the below form to redeem your FREE Sample offer.

By checking this box you are confirming your Futurabond U Sample Request*

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I hereby confirm that I have read and accept the privacy statements and that I am legally allowed to order medical Devices for my profession or on behalf of my Supervising Dentist.*

Limit 1 sample per office within 12 months. Offer valid in the US and Canada only while supplies last. For evaluation purposes only, offered for use on patients by a dental professional as intended for use. Participating doctors or dentists are obligated to properly report and reflect any bonus product, rewards, rebates, discounts, or other benefit they receive on their submissions to Medicare, Medicaid, state or federally funded healthcare program and/or private insurance. Please allow 2-3 weeks for delivery of sample.