Coburn Dental Systems

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Thank you for taking the time to learn about our products and services. Now we would like to send you a free – no obligation – Coburn Planning Kit, which includes:

A complementary DVD featuring Dr. Coburn giving a brief narration of the Coburn High Performance Treatment Center during an actual surgical procedure,
A planning guide to creating ideal operatory environments,
Coburn pricing guides for single and/or dual operatory environments,
A pre-installation guide to installing a (standard) Coburn treatment room,
An invitation to submit your plans directly to Dr. Coburn, a leading authority in dental treatment room ergonomics, for a complementary evaluation.
FAQ’s pertaining to ordering logistics, payment terms, shipping, installation, warranty, service…

To help us understand your needs, please take a moment to answer the following.

1. How would you rank the following considerations in terms of importance when analyzing a new treatment center? 1 = highest importance, through 5 = least importance

a. I look for a system that best supports efficiency and ergonomics

1 (Highest Importance) 2 3 4 5 (Least Importance)

b. I look at the best value/price

1 (Highest Importance) 2 3 4 5 (Least Importance)

C. I rely on the reputation and brand name of the manufacturer

1 (Highest Importance) 2 3 4 5 (Least Importance)

d. I usually trust my dealer sales rep to advise me on what to purchase

1 (Highest Importance) 2 3 4 5 (Least Importance)

e. I put a lot of emphasis on the look and appearance to ensure it reflects positively with my patients

1 (Highest Importance) 2 3 4 5 (Least Importance)

2. Are you planning a new treatment room?

YES NO

3. If so, how many rooms? , and if so, when:

1 - 3 months 4 - 6 months 7 - 12 months

4. Would you prefer information on dual, or single entry floor plans?

Single Dual Both

5. What type of delivery system are you currently working with?

Side Delivery Rear Delivery OTP Delivery

6. What type of delivery system do you prefer?

Side Delivery Rear Delivery OTP Delivery

Name:
Phone:
Fax:
Address:
Email:

*Thank you!* We look forward to hearing from you.

Coburn Dental Systems
40 Engelhard Drive, Aurora, Suite 6, ON L4G 6X6
Phone: 905- 713-2010 Fax: 905 713-2012
Email: greg@coburndental.com

“I absolutely love the design. Functionally, it just makes sense.”

Kristen Hill, Chairside Assistant
Burlington, Ontario

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