Section 1 of 1 in this document

Order Elastics

Prices That Beat Leading Elastics Providers

Each box contains 50 bags of 100 elastics
$29.50 for latex boxes.
$31.50 for latex-free boxes.
Once you've completed this form, you will receive a final invoice from us with your total cost including shipping.

Product Selections

Sizes available for order include 3/16" medium (Woody and Jessie), 3/16" heavy (Mr. and Mrs. Potato Head), 1/4" medium (Mickey and Minnie), 1/4" heavy (Donald and Daisy), 5/16" medium (Lion King), and 1/4" medium latex free (Aladdin).

3/16" Medium (Woody and Jessie) Quantity

3/16" Heavy (Mr. & Mrs. Potato Head) Quantity

1/4" Medium (Mickey and Minnie) Quantity

1/4" Heavy (Donald and Daisy) Quantity

5/16" Medium (Lion King) Quantity

1/4" Medium (Aladdin) Latex-Free (Out of Stock)

Practice Name

Office Email

Do you currently offer any of the WildSmiles bracket collections in your practice?

Yes

Phone Number

Shipping Address (if in Canada)

Billing and shipping address are the same.

Yes

Credit Card Number

CVC Code

Expiration Date

Order Elastics

Prices That Beat Leading Elastics Providers

Product Selections

Doctor Name

Do you currently offer any of the WildSmiles bracket collections in your practice?

Shipping Address (Skip ahead if shipping to Canada)

Billing and shipping address are the same.

Billing Address

Name on Credit Card