Great Expressions Dental Centers

Product Walk- Around HWD: 8.5″ x 15″ x 14.1″

Product Walk- Around HWD 18.8″ x 19.3″ x 16.9″

Your Info
Name*
First Last
Email*
Phone*
Select your store location (drop down options are listed in numerical order by store code)*
Store Location # and Name (### City)*
Shipping Address*
Street Address Address Line 2 City State ZIP Code
Order Info
I would like to order the HP M404
Price: $259.00
M404n is $ 259.00 + $ 150 for install = $ 409.00
I would like to order the Lexmark XM1246
Price: $987.00
Lexmark XM1246 is $ 987.00 + $ 150 for install = $ 1,137
Purchase Order Number*
Will this be a new printer placement or replacing another device?*
- Yes
- No
If this printer is replacing another device, what is the Printer ID of the existing device? (Note - The existing device will be removed from contract.)
Does this machine need to be installed?*
- Yes
- No
Delivery Preference*
Expedited shipping charges will be directly passed along.
GEDC IT Technology Name:
GEDC IT Technology Contact Information

Your Info