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Distributor Order Form
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Date:
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PO#:
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Dental Lace Inc.Bill to:Ship to:
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5 Waumbek Road
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Cape Elizabeth, Maine 04107
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207-415-0963
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contact@dentallace.com
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Instructions for use: Go to File, select make a copy. Rename the file to indicate your order. After that you have 3 easy options: 1. You can fill out the copy,
and send us your google drive link when finished. 2. Print the file, fill it out manually, scan it and then send it in an email to dentallacefm@gmail.com
3. You can download the file as a pdf when completed, and send the file to dentallacefm@gmail.com
Use this email if you have any questions.
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Shipping MethodShipping TermsDelivery Date
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USPS First Class/PrioritySee Terms & Conditions
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ItemDescriptionColor Options
and Quantity
Total
Quantity
Unit
Price
Case
Total
Total
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Silk Container with Refill
(66 yds.)
Assorted Container Designs with two 33-yard
Italian silk floss refill spools.
Total 66-yards of silk floss.
MOQ Cases of 30 Units.
GrayBluePink0$4.950$0.00
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GreenWavesSea Glass
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ShellsJasperCrystals
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ItemDescriptionColor Options
and Quantity
Total
Quantity
Unit
Price
Case
Total
Total
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Single Silk Container
(33 yds.)
Assorted Container Designs with a 33-yard
Italian silk floss spool.
Total 33-yards of silk floss.
MOQ Cases of 30 Units.
GrayBluePink0$3.380$0.00
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GreenWavesSea Glass
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ShellsJasperCrystals
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ItemDescriptionColor Options
and Quantity
Total
Quantity
Container
Unit
Price
Case
Total
Total
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Assorted Silk Containers
plus Silk Refill Units
(66 yds. + 66 yds.)
Assorted Container Designs with
two 33-yard Italian silk floss refill spools.
Total 66-yards of silk floss. (Unit price $5.49)
Also, two 33-yard Italian silk refill spools
inside a compostable bag. (Unit price $4.75)
MOQ Cases of 30 Units.
GrayBluePink0$4.950$0.00
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GreenWavesSea Glass
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Refill
Unit
Price
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ShellsJasperCrystals
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Refills$3.83
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ItemDescriptionQuantityUnit
Price
Case
Total
Total
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Silk Refills
(66 yds.)
Unit is two 33-yard silk spools of Italian
silk floss inside a compostable bag.
Total 66 yards silk floss per unit.
MOQ Cases of 30 Units.
$3.830$0.00
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ItemDescriptionTotal
Quantity
Box
Price
Total
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Silk Container Shelf Display
Shelf Display box that can fit up to
10 of our Italian Silk Floss Containers.
(Unit Price per Container $3.75)
(Free for order totals over $300.)
$5.00$0.00
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Silk Refill Display
Shelf display box that can fit up to
6 of our Italian Silk Floss Refils
(Unit Price per Refill $3.99)
(Free for order totals over $300.)
$5.00$0.00
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Terms: Minimum order 1 Case. Fulfillment upon receipt of invoice payment, plus Dental Lace 10-day lead time. Past due accounts are subject to a 3% monthly interest.
Checks or PayPal are accepted. Shipping and international customs duty costs extra. Free delivery within 10 miles of Portland, Maine. Returns only with authorization within
10 days of delivery; damage or discrepancy must be reported within 48 hours. Customer will provide all needed data about any damage during shipment to Dental Lace
to facilitate claims against carrier. Sales restricted to retailer’s online sites. Dental Lace reserves exclusive rights to sales through Amazon, Etsy, eBay, and Alibaba.
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Authorized by:Date:Subtotal:$0.00
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Discount (3% over $500)
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Shipping
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Total:$0.00
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Special Instructions:
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