2015-2016 Dental Reference Guide

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FORMS
1003 Order by 800-626-2163 Fax: 888-681-5088
Laser Statement Paper with Mastercard and
Visa - Ancom
Perforated laser statements with Master Card and Visa logos allow
clients to easily transfer their balance to credit card and update
address and insurance info.
1000/box .......................................... $94.25
Laser Statement Paper with Mastercard, Visa and
Discover - Ancom
Perforated laser statements with Master Card, Visa and Discover
Card logos allow clients to easily transfer their balance to credit card
and update address and insurance info.
1000/box .......................................... $79.45
Touch and Seal Envelope with Return Envelope
Inserted - Ancom
Touch and Seal double window envelope for Continuous Dental
Statement #15-7000, with return envelope pre-inserted. Blue and
white remittance envelopes available at all times, call for availability
on other colors Remittance envelopes can be purchased separately.
Touch and Seal Envelope with Return Envelope Inserted.
500/box .......................................... $186.25
Touch and Seal Envelope - Ancom
Touch and Seal double window envelope for Continuous Dental
Statement #15-7000.
792-SS9A 500/box ..........................................$163.25
Laser Statement Paper without Credit Card
Information - Ancom
Perforated laser statements with no credit card logos allow clients
to easily update address and insurance info.
1000/box ..........................................$80.25
STATEMENT PAPER