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Thayer Dental



If you are interested in securing your future, please fill in the information fields below. Once you have completed this page, CLICK the "Submit" icon to send us your application. If you need to change the form or start over, simply CLICK the "Reset" icon.

Name:
PTC Trained Yes No
CDT Yes No
MDT Yes No
RDT Yes No

Please tell us about your dental expertise (check all that apply).:

Crown & Bridge Department: Preparatory
  Die Trimming
  Waxing
  Finishing

Porcelain Department: Build
  Grind
  Stain/Glaze
Please indicate which products you have worked with:
  Captek
  Cercon
  Cerec
  Cristobal+
  IPS Empress Esthetic
  IPS Eris
  Procera
  Wol-Ceram

Denture Department: Preparatory
  Waxing
  Finishing
  Tooth Set-up

Have you worked with:
Cast Partials: Yes       No
Orthodontic: Yes       No
Street Address:
City:
State/Province:
Country:
Zip/Postal Code:
Phone and Extension:
Best time of day to call: AM       PM
Fax:
E-Mail Address:

Please briefly tell us about your dental background in the dialogue box below.

FOR FURTHER INFORMATION CALL GREG THAYER, CDT AT 1-800-382-1240.


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Copyright © 2003 & 2007 Thayer Dental Laboratory, Inc.
131 Old Schoolhouse Lane
Mechanicsburg, Pennsylvania 17055