Free Goods & Rebates

To process your rebate and/or your free product, please complete and submit the form below. Dealer invoice must be submitted along with this rebate form for processing.

Free Goods & Rebates Form

Select the option that best identifies you in the redemption process

Dental Practice
General Info



Practice Contact:




Practice Address





Order and Redemption Info



Select the offers you are looking to redeem for the invoice listed above.










Expected DryShield Free Goods




Dealer Field Rep
Rep Information:





Order and Redemption Info


Select the offers you are looking to redeem for the invoice listed above.











Expected DryShield Free Goods




Practice Info



Practice Contact:




Practice Address






Solmetex 
Solmetex Water Specialist
Water Specialist Information:


Order and Redemption Info



Select the offers you are looking to redeem for the invoice listed above.










Expected DryShield Free Goods




Practice Info



Practice Contact:




Practice Address





Limited time offer, specials only valid on purchases dated between January 1, 2024 – March 31, 2024. All Solmetex Q1 Special Offers (NXT Hg5 and NXT DryVac) require enrollment in the Solmetex Compliance Program. Rebate forms must be received by May 15, 2024. Offers not valid with any other promotions. Offers may be discontinued or changed without notice and void where not valid. Offers for Solmetex and Sterisil products only apply to customers and distribution partners within the USA. Offers for DryShield products apply only to customers and distribution partners in the USA and Canada.

All ‘Q4 2023 Specials’ rebate forms must be received by February 15, 2024.