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G-Premio BOND™
Light-Cured Adhesive

Order Form
Shopping Cart & Customer Information


Please complete the Shopping Cart and Customer Information Forms to submit your order.
An Inside Sales Representative from GC America will contact you to confirm your free goods.

Shopping Cart Information
Item Number Description Quantity
009277 G-Premio BOND Bottle Refill
Contains: One bottle refill (5 mL).
009552 G-Premio BOND Dual Cure Activator (DCA)
Contains: One bottle (3 mL).
009275 G-Premio BOND Kit 
Contains: One bottle (5 mL), 50 disposable applicators and 20 disposable dispensing dishes.
009276 G-Premio BOND Unit Dose 
Contains: Fifty unit doses (0.1 mL) and 50 disposable applicators (fine).
401000 G-ænial Sculpt - Syringe Introductory Kit
Contains: Three syringes (Shade A1, A2 and A3 only; 2 mL each) and 1 G-Premio BOND Refill (5 mL).
401100 G-ænial Sculpt - Unitip Introductory Kit
Contains: Sixty unitips (20 each of: Shade A1, A2 and A3 only; 0.16 mL each) and 1 G-Premio BOND Refill (5 mL).

Customer Information
*Denotes required field
First Name:* *
Last Name:* *
Office Name:* *
Office Address:* *
Office Address 2:
City:* *
State/Province:* *
Zip Code:* *
Country:* *
E-mail Address:* *
Phone Number:* *
Fax Number:
Dealer:* *
Dealer Account Number:

To place an order for GC America Products, please click the "Submit" button (above). An Inside Sales Representative from GC America will call you to execute the placement of your order with an authorized GC Dealer. If you need to contact us, please call 800-323-7063.

Click here to learn more about G-Premio™ BOND.


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