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MI Paste™ & MI Paste Plus™
Topical Tooth Crème Containing Calcium, Phosphate & Fluoride

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.

United States Section (this section is required for United States Orders ONLY)

Shopping Cart Information
Item Number Description Quantity
422265 MI Paste - Assorted Package
Contains: Ten tubes; 2 tubes of each flavor: melon, mint, strawberry, tutti frutti and vanilla (40 g; 35 mL each).
423679 MI Paste - Mint
Contains: Ten tubes (40 g; 35 mL each).
424505 MI Paste - Strawberry
Contains: Ten tubes (40 g; 35 mL each).
422614 MI Paste Plus - Assorted Package
Contains: Ten tubes; 2 tubes of each flavor: melon, mint, strawberry, tutti frutti and vanilla (40 g; 35 mL each).
422621 MI Paste Plus - Mint
Contains: Ten tubes (40 g; 35 mL each).
422886 MI Paste Plus - Strawberry
Contains: Ten tubes (40 g; 35 mL each).
422888 MI Paste Plus - Vanilla
Contains: Ten tubes (40 g; 35 mL each).


Canadian Section (this section is required for Canadian Orders ONLY)

Shopping Cart Information
Item Number Description Quantity
422265 MI Paste - Assorted Package
Contains: Ten tubes; 2 tubes of each flavor: melon, mint, strawberry, tutti frutti and vanilla (40 g; 35 mL each).
423679 MI Paste - Mint
Contains: Ten tubes (40 g; 35 mL each).
424505 MI Paste - Strawberry
Contains: Ten tubes (40 g; 35 mL each).
008295 MI Paste Plus - Mint
Contains: Ten tubes (40 g; 35 mL each).


Customer Information
*Denotes required field
Salutation:
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 MI Paste™ & MI Paste Plus™.

 

 
   
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