Dental practices: If you use D.D.M., DentalPro or SoftDent software, these 8-1/2 x 11 horizontally perforated laser statements are designed specifically for use with your software. You’ll present a professional image with pre-printed statements that are easy to read.

Accept credit cards? Make sure your patients know. For a nominal fee we can pre-print credit card information on the back of your laser statements, 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 D.D.M., DentalPro and SoftDent are also available.

8-1/2 x 11, horizontal perforation 3-2/3” from top, 24# bond paper, 1000 per carton.

To view the compatible envelopes, please see the related products below.

We can customize any form.  Call for quote.

Pricing and Customization (If Applicable)
Product #	2189
Imprint?	No Yes
M	0.5 ($104.00 Per M) 1 ($71.00 Per M) 1.5 ($67.00 Per M) 2 ($70.00 Per M) 2.5 ($68.00 Per M) 3 ($63.00 Per M) 3.5 ($62.00 Per M) 4 ($62.00 Per M) 4.5 ($57.00 Per M) 5 ($55.00 Per M) 6 ($55.00 Per M) 7 ($55.00 Per M) 8 ($55.00 Per M) 9 ($55.00 Per M) 10 ($55.00 Per M) 1,000 per M
Imprinted (M)	0.5 ($138.00 Per M) - Imprinted - 1 Side 1 ($106.00 Per M) - Imprinted - 1 Side 1.5 ($102.00 Per M) - Imprinted - 1 Side 2 ($105.00 Per M) - Imprinted - 1 Side 2.5 ($102.00 Per M) - Imprinted - 1 Side 3 ($92.00 Per M) - Imprinted - 1 Side 3.5 ($92.00 Per M) - Imprinted - 1 Side 4 ($92.00 Per M) - Imprinted - 1 Side 4.5 ($92.00 Per M) - Imprinted - 1 Side 5 ($90.00 Per M) - Imprinted - 1 Side 6 ($90.00 Per M) - Imprinted - 1 Side 7 ($90.00 Per M) - Imprinted - 1 Side 8 ($90.00 Per M) - Imprinted - 1 Side 9 ($90.00 Per M) - Imprinted - 1 Side 10 ($90.00 Per M) - Imprinted - 1 Side 0.5 ($158.00 Per M) - Imprinted - 2 Side 1 ($126.00 Per M) - Imprinted - 2 Side 1.5 ($123.00 Per M) - Imprinted - 2 Side 2 ($125.00 Per M) - Imprinted - 2 Side 2.5 ($116.00 Per M) - Imprinted - 2 Side 3 ($113.00 Per M) - Imprinted - 2 Side 3.5 ($113.00 Per M) - Imprinted - 2 Side 4 ($113.00 Per M) - Imprinted - 2 Side 4.5 ($113.00 Per M) - Imprinted - 2 Side 5 ($111.00 Per M) - Imprinted - 2 Side 6 ($111.00 Per M) - Imprinted - 2 Side 7 ($111.00 Per M) - Imprinted - 2 Side 8 ($111.00 Per M) - Imprinted - 2 Side 9 ($111.00 Per M) - Imprinted - 2 Side 10 ($111.00 Per M) - Imprinted - 2 Side 1,000 per M
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