Coltolux Comfort "*" indicates required fields Residing Country* United States Canada I Would Like to* Place an Order through my Dealer Request an in Office Demo Request a Lunch & Learn Request Contact by Local Rep We're pleased to hear of your interest in our Lunch & Learn sessions. You will receive a follow-up email shortly from your local COLTENE representative.You will be able to select your preferred U.S. or Canadian dealer, who will then process and fulfill your order.Contact InformationPractice Name*National Physician ID No.*(required for US doctors)Name* Prefix TitleDr.MissMr.Mrs.Ms.Prof. First Last Phone*Email* Order Selection and Preferred DealerWill your order include multiple part numbers?* Yes No Product Selection*Please Select60034390 Coltolux Comfort Kit, International60034391 Spare battery60034392 Universal power supply with plug adapters60034393 Barrier sleeves (pack of 1,000)60034394 Intraoral light shield (pack of 5)60034395 Extraoral light shield (pack of 5)60034396 Lens caps (pack of 20)60034446 Composite test blockQuantity*Product Selection*Please Select60034390 Coltolux Comfort Kit, International60034391 Spare battery60034392 Universal power supply with plug adapters60034393 Barrier sleeves (pack of 1,000)60034394 Intraoral light shield (pack of 5)60034395 Extraoral light shield (pack of 5)60034396 Lens caps (pack of 20)60034446 Composite test blockQuantity*Product SelectionPlease Select60034390 Coltolux Comfort Kit, International60034391 Spare battery60034392 Universal power supply with plug adapters60034393 Barrier sleeves (pack of 1,000)60034394 Intraoral light shield (pack of 5)60034395 Extraoral light shield (pack of 5)60034396 Lens caps (pack of 20)60034446 Composite test blockQuantityPreferred Dealer*Please Select3Z DENTALACME DENTALAM-TOUCH DENTALATLANTA DENTALBENCO DENTALBURKHART DENTALCAROLINA DENTALCENTRAL DENTAL TORONTOCENTRAL DENTAL WINNIPEGCERUM DENTALDARBY DENTALDAVIS DENTALDC-DENTAL (USA-VERSION)DDS DENTALDENTAL BRANDSDENTAL CITYDHPDIATECHFRONTIER DENTAL SUPPLYGOETZE DENTALHEALTHCARE SUPPLY CORPORATIONHENRY SCHEIN CANADAHENRY SCHEIN USAIQ DENTALJOHNSON AND LUND DENTALK-DENTALKINGS TWO DENTALLAB DEPOTMEDISELECT DENTALMIDWAY DENTALMIDWEST DENTALMS DENTALNASHVILLE DENTALNEWARK DENTALNORTHERN SURGICALNOWAKOC DENTALPATTERSON DENTALPATTERSON DENTAL CANADAPEARSON DENTALPREFERRED DENTAL SERVICESPURE LIFE DENTALSAFCO CANADASAFCO DENTALSCOTT'S DENTALSINCLAIR DENTALSKY DENTALSUPPLYDOCTOP QUALITY DENTALTRISTATE DENTALVALUEMEDYOUNGS DENTALDelivery AddressPlease Enter Your Delivery AddressPlease Enter Your Delivery Address* Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Please Enter Your Delivery Address* Street Address Address Line 2 City Province AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Postal Code Billing AddressPlease Enter Your Billing AddressIf you're seeing this message, then you need to select your residing country. Please Enter Your Billing Address* Same as previous Street Address Address Line 2 City Province AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Postal Code Please Enter Your Billing Address* Same as previous Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code How Did You Learn About COLTENE?Please SelectDistributorFacebookInstagramLinkedInTwitterTikTokVivaLearningOtherPlease Share How You Learned About UsWould You Mind Sharing the Name of Your Distributor?Please Select3Z DENTALACME DENTALAM-TOUCH DENTALATLANTA DENTALBENCO DENTALBURKHART DENTALCAROLINA DENTALCENTRAL DENTAL TORONTOCENTRAL DENTAL WINNIPEGCERUM DENTALDARBY DENTALDAVIS DENTALDC-DENTAL (USA-VERSION)DDS DENTALDENTAL BRANDSDENTAL CITYDHPDIATECHFRONTIER DENTAL SUPPLYGOETZE DENTALHEALTHCARE SUPPLY CORPORATIONHENRY SCHEIN CANADAHENRY SCHEIN USAIQ DENTALJOHNSON AND LUND DENTALK-DENTALKINGS TWO DENTALLAB DEPOTMEDISELECT DENTALMIDWAY DENTALMIDWEST DENTALMS DENTALNASHVILLE DENTALNEWARK DENTALNORTHERN SURGICALNOWAKOC DENTALPATTERSON DENTALPATTERSON DENTAL CANADAPEARSON DENTALPREFERRED DENTAL SERVICESPURE LIFE DENTALSAFCO CANADASAFCO DENTALSCOTT'S DENTALSINCLAIR DENTALSKY DENTALSUPPLYDOCTOP QUALITY DENTALTRISTATE DENTALVALUEMEDYOUNGS DENTALThis field is hidden when viewing the formTERRITORY / REG. MGRS (USA)This field is hidden when viewing the formGET ZIP CODE (USA)(searches google sheet)This field is hidden when viewing the formTerritory Mgr. (USA)(Dynamic Population)This field is hidden when viewing the formRegional Mgr. (USA)(Dynamic Population)This field is hidden when viewing the formTerritory Mgr. Email (USA)(Dynamic Population)This field is hidden when viewing the formRegional Mgr. Email (USA)(Dynamic Population)This field is hidden when viewing the formTERRITORY / REG. MGRS (CA)This field is hidden when viewing the formGET ZIP CODE (CA)(searches google sheet)This field is hidden when viewing the formTerritory Mgr. (CA)(Dynamic Population)This field is hidden when viewing the formRegional Mgr. (CA)(Dynamic Population)This field is hidden when viewing the formTerritory Mgr. Email (CA)(Dynamic Population)This field is hidden when viewing the formRegional Mgr. Email (CA)(Dynamic Population)This field is hidden when viewing the formTERMSTerms* I agree to the terms of service YOUR ORDER IS BILLED BY YOUR DEALER. Prices, taxes, and shipping will be determined and billed by your preferred dealer. BACK TO THE MAIN PAGE 330.916.8800 235 Ascot Parkway, Cuyahoga Falls, OH 44223