Straumann Bone Level Tapered Implants (BLT) Roxolid SLActive - straumann 2026

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The document is an order form for Straumann® Bone Level Tapered Implants (BLT) and related components, including Roxolid® SLActive® implants, profile drills, taps, alignment pins, depth gauges, healing abutments, and closure screws. It provides detailed product codes and specifications for various items available for order, along with contact information for placing orders via fax or online.

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Click ‘Get Form’ to open it in the editor.
Begin by entering your Customer Number in the designated field at the top of the form.
Select your Payment Type from the options provided, ensuring you choose either NET 30 or Credit Card.
Fill in your Name and Date in the respective fields to personalize your order.
In the table, enter quantities for each item you wish to order in the last column. Be sure to check that all details match your requirements.
Once completed, send the fax form to 800/524 6752 as indicated at the bottom of the document.

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