Sensor Terms Agreement


DentiMax
4115 E. ValleyAuto Drive, Suite 101
Mesa, AZ 85206
1 (800) 704-8494

Bill to:
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{{billing_address_1}} {{billing_address_2}}
{{billing_city}}, {{billing_state}} {{billing_postcode}}
{{billing_phone}}
{{customer_wp_user_email}}
Ship to:
{{shipping_first_name}} {{shipping_last_name}}
{{shipping_address_1}} {{shippings_address_2}}
{{shipping_city}}, {{shipping_state}} {{shipping_postcode}}

Date: {{order_create_date}} Invoice: {{order_id}}

 
All sales final

Leave this empty:

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Signature Certificate
Document name: Sensor Terms Agreement
lock iconUnique Document ID: f4233548926a02602aa3ba63b7b4ad0b55004914
Timestamp Audit
April 19, 2024 10:59 am MSTSensor Terms Agreement Uploaded by Bill Binder - [email protected] IP 24.248.184.127