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KaVo Kerr

                 Product Redemption Form

                                       October 1–December 31, 2017

                                            Redemption Form

            To receive your special offer for investing in an eligible dental imaging system*, please complete this form in its entirety,
            then mail it, along with a copy of the dealer invoice(s), to:

            Mail to:   KaVo Rebates                                    Email:
                       Attn. Rebate Coordinator

                       11727 Fruehauf Drive
                       Charlotte, NC 28273
                       Must be postmarked by December 31, 2017; no exceptions.
                       Your product will be shipped within 6–8 weeks from approved receipt of redemption form.

                Imaging Unit Purchased:
                  Any 2D Pan                              OP 3D                          OP 3D Pro

                                                  Promotional Goods  Selection   Promotional Goods  Selection
                                                  (CHECK ONE): NOMAD   Pro 2   OR  (CHECK ONE): GXS-700
                 Promotional Goods                Black or White                 Intraoral Sensor
                 200,000 Rewards Points
                       In addition to loyalty rewards points                    GXS-700       GXS-700
                 earned for the 2D Pan purchase                                   Size 1        Size 2
                 Customers must be registered at
                 to purchase

                                                  PROMO CODE (WHITE) IMGFGALL940  PROMO CODE (SIZE 1) IMGFGALL967
                                                  PROMO CODE (BLACK) IMGFGALL921  PROMO CODE (SIZE 2) IMGFGALL968

               Doctor's Nameractice Name:
               Practice Address:

               City, State, ZIP:
               Practice Phone:

                                             Thank you for your business!

           *This is a limited-time promotional offer starting October 1 and expiring December 31, 2017. To be eligible for this promotion, you must sign an order for the purchase
           of a 2D or 3D Extraoral imaging unit with an authorized dealer between October 1 and December 31, 2017. All sales plus any applicable taxes must be invoiced by the
           authorized dealer by December 31, 2017. Qualifying Extraoral imaging units include products from KaVo, Instrumentarium, and Gendex brands. To receive your no charge
           intraoral product, the redemption form, signed dealer order, and a copy of the dealer invoice must be properly completed and submitted as instructed on the redemption
           form. In order to earn the 200,000 KaVo Kerr Preferred points, you must be registered for the KaVo Kerr Preferred Program prior to purchase. The points will be automatically
           deposited to you account by the end of promotion period. This promotion qualifies for KaVo Kerr Preferred points for extraoral products but cannot be combined with any
           other promotional offer. For additional information on warranty and details of this offer, please contact your KaVo Kerr Imaging consultant. The product will be shipped
           directly to you from the manufacturing site. Please allow 6-8 weeks for product delivery upon the receipt of the redemption form. PROMO CODE: IMGFG921  KK00088/E10.17

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