Sample Request

Please provide us with a mailing address as our samples are normally shipped by USPS.

 Name
 Position/ Title
 E-Mail (Required)
 Company
 Address 1
 Address 2
 City
 State/Province
 Postal Code
 Country
 Phone
 Fax

 I would like to receive your e-mail newsletter

 

Please tell us which samples you would like to receive:
 
Vacalon Wax Sample Kit

*Includes samples of our sculpturing, margin, diagnostic and sticky wax products
 
ProLine HX Dipping Wax, Purple, High-Flex
 
ProLine MX Dipping Wax, Orange, Medium-Flex
 
ProLine LX Dipping Wax, Green, Low-Flex
 
 Cera-Mix Porcelain Modeling Liquid
 
 HydroSmooth Debubblizer/Surfactant
 
 Fiber-Free Tray Liner
 
 Insta-Peg Refractory Material
 
 Disposable Plungers, 2 gram size
 
 Disposable Plunger, e.Max Size
 
 ProLine Model & Die Conditioner
 
 ProLine Pattern Resin - Red
 
 ProLine Pattern Resin - Clear
 
 N&V Z4 100g + Liquid


Please enter the following code into the box provided: