Sample Request

If you are interested in receiving a sample of GumChucks, please complete this form or call us at 855-424-8257.
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  • Who is your preferred distributor? (ie. Henry Schein, Benco, Burkhart, Patterson, Pearson, etc) If you do not have a preferred distributor please write "none."
  • Skip this question if you replied "YES" to the previous question.
  • Toothbrush, dental floss, toothpaste, etc. Please list specific brand names if possible.
    We have two type of samples - one featuring our standard tip (which is found in our Adult ProFloss and GumChucks KIDS products) and one featuring our ORTHOgami tip (flossing for braces - found in all of our ORTHOgami products). If you are interested in requesting brochures, please order them directly through our store shop. The brochures are free, but we ask that you pay for shipping.
  • We now offer CE credits for attending our webinar. A live online Webinar is a great way to train your team on how to introduce and sell GumChucks. The Webinar Educator can work with you to develop a strategy that is customized to your particular needs. Webinars are Free.
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Webinar Request Form

A Webinar is a great way to train your team on how to introduce and sell GumChucks. The Webinar Educator can work with you to develop a strategy that is customized to your particular needs. Webinars are Free and all participants will receive a Live CE credit. Please fill out the form below or contact us at 855-424-8257 to schedule your webinar.
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  • Please add any additional comments here.
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Sales Rep Request

If you are a sales rep looking to request samples for one of your offices, please fill out the following form or call us at 855-424-8257.
  • Please list the name of the Distributor that you work for.
  • Please list your territory for sales.
  • We have 2 types of samples: Standard and ORTHOgami (for braces).

 

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