Get some green in 2019!AutoShip Ra�eEnter to win a $500 Amazon gift card.Simply enroll your practice in our complimentary AutoShip program and have your Hg5 series replacement collection container delivered to your door according to your schedule.

$300 end user rebate on anNXT Hg5 Amalgam Separator(Practice Waste Solutions Amalgam Bucket included)Item# Description Suggested RetailNXT-HG5-001 NXT Hg5 Amalgam Separator $860.00NXT-HG5-MINI NXT Hg5 mini Amalgam Separator $860.00NXT-HG5-HV $2860.00NXT Hg5 High Volume Amalgam Separator

Item# Description Promo PriceNXT-HG5-RPL2 NXT Hg5 Amalgam Separator $0.00NXTMINI-RPL2 NXT Hg5 mini Amalgam Separator $0.00

Upgrade your Hg5 Amalgam Separator to thenew NXT Hg5 Amalgam Separator for FREE

*For current customers only. Serial numberof your current Hg5 Separator required.

FREE NXT Hg5 Upgrade O�er*

TM2019 Q1 SpecialsJan 1 - Mar 31, 2019

OFFER

#1

OFFER

#2

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Rebate & Gift CardRequest Form

2019 First Quarter Specials

Form must be completed to process your rebate, free product and/or gift card. Rebates require enrollment in the Solmetex AutoShip program. Dealer Invoice must be submitted along with this purchase form for processing.

Doctor name: ____________________________ Practice name: ________________________________ Address: _____________________________________________________________________________ City: ____________________________ State: __________________________ Zip code: ____________Phone: _________________________________ Fax: _________________________________________E-mail: ______________________________________ Dealer: __________________________________Authorizing signature: __________________________________________________________________

Email completed form to sales@solmetex.com or fax to 508-393-1795.

Limited time o�er, specials only valid on purchases dated between January 1, 2019 – March 31, 2019.All ‘Q1 Specials’ promotions require enrollment in AutoShip. Rebate and gift card forms must be received by April 22, 2019. Offers not valid with any other promotions. Offers may be discontinued or changed without notice and void where not valid. O�er only applies to USA dealers and customers.

Jan 1 - Mar 31, 2019

Q1 SpecialsTM

Item# DescriptionNXT-HG5-001 NXT Hg5 Amalgam Separator NXT-HG5-MINI NXT Hg5 mini Amalgam Separator NXT-HG5-HV NXT Hg5 High Volume Amalgam Separator

Quantity

Qualifying products for $300 End User RebateO�er #1

*Enrollment in AutoShip program required.

Yes! Please enroll me in the complimentarySolmetex AutoShip Program and enter me into the$500 Amazon gift card ra�e

O�er #3

Signature: _________________________________________________________________________

(# of containers)I would like _________containers shipped to my practice every _______ months.

My Preferred Dealer: ______________________________________________________________