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2139 – Top Perforated Laser Statement Paper w/Braces

Orthodontists: Are you printing your statements out on copy paper? Here’s a better alternative. These white laser statement papers are pre-printed with two rows of light blue molars, each tooth fitted with grey braces. The horizontal perforation makes it easy for patients to tear off the remit portion and send in their payment.

Designed for use with AOS, Dolphin, IMS, MacBraces, OASYS, Ortho II OneTouch, Viewpoint, OrthoEase, PCH Dent/FoxDent, and SoftDent software packages.

AOS and IMS users also have the option of using item #2136 (another top perforated form). AOS users have the additional options of using item #2157 (prints statements two per page), or item #2167 or #2174 (both bottom perforated forms). MacBraces users have the option of using item #2187. Check your laser statement layout to determine which is best for you.

Accept credit cards? Don’t forget to let your patients know. For a nominal fee we can pre-print credit card information on the back of the laser statement paper, with “SEE REVERSE SIDE FOR CREDIT CARD PAYMENT” on the front.

We can also create a statement that looks just like this, but with your logo printed at the top and/or screened back in the statement section. Call or email for quote. Remittance envelopes and single or double window outer envelopes compatible with your software program are also available.

8-1/2 x 11, horizontal perforation 3-2/3” from top, 24# bond paper, 1000 per carton. Image of molars with braces is printed across the top and towards the bottom of the form.

To view the other available laser statements and/or compatible envelopes, please see the related products below.

Pricing and Customization (If Applicable)
Product # 2139
Imprint? No Yes
M 1,000 per M
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