Sample Request

If you are interested in receiving a sample of GumChucks, please complete this form or call us at 855-424-8257. Please note that we can no longer ship to residential addresses. Also, we are currently out of stock of our ORTHO sample.
  • Please provide your office address. We can no longer ship to residential addresses.
  • Who is your preferred distributor? (ie. Henry Schein, Benco, Burkhart, Patterson, Pearson, etc) If you do not have a preferred distributor please write "none."
  • Toothbrush, dental floss, toothpaste, etc. Please list specific brand names if possible.
    We have two types of sample - one featuring our standard tip (which is found in our Adult ProFloss and GumChucks KIDS products and one featuring our ORTHOgami tip (flossing for braces - found in all of our ORTHOgami products). UPDATE: WE CURRENTLY ARE OUT OF STOCK OF OUR ORTHO SAMPLES. If you are interested in requesting brochures, please order them directly through our store shop.
  • We now offer CE credits for attending our webinar. A live Webinar is a great way to train your team on how to introduce and sell GumChucks. The Webinar Educator can work with you to develop a strategy that is customized to your particular needs. Webinars are Free.
  • This field is for validation purposes and should be left unchanged.

Webinar Info Request

A Webinar is a great way to train your team on how to introduce and sell GumChucks. The Webinar Educator can work with you to develop a strategy that is customized to your particular needs. Webinars are Free and all participants will receive a Live CE credit. Please fill out the form below or contact us at 855-424-8257 to schedule your webinar.
  • Please provide the best number to reach you to schedule a webinar. Please include area code.
  • Please let us know the best time to call you to schedule a webinar.
  • This field is for validation purposes and should be left unchanged.

Sales Rep Request

If you are a sales rep looking to request samples for one of your offices, please fill out the following form or call us at 855-424-8257.
  • Please list your sales territory
  • We have 2 types of samples: Standard (non braces) and ORTHOgami (for braces). We are currently out of stock of our ORTHO sample.

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