Custom Dental Charge Slips, 4" x 5-1/2", 100 Sheets per Pad
                
            
                         $8.59 
                    
                        5-9 pad
                                  ($0.09/EACH)  
                
                                                                        Save 48%
                
                
                         $4.39 
                    
                        40+  pad
                                  ($0.04/EACH)  
                Custom Dental Charge Slips, 4" x 5-1/2", 100 Sheets per Pad
        Item #:
        901-QFN131151R
    
        
            Model #:
            7QGFM131151R
        
            
            Brand:
            Quill Custom Print
        
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                         $8.59 
                    
                        5-9 pad
                                  $0.09/EACH  
                
                                                                        Save 48%
                
                
                         $4.39 
                    
                        40+  pad
                                  $0.04/EACH  
                
                            100 EACH = 1 PAD
                        
                            Buy more & save!
            
                                Qty. savings
                        
                        
                            $8.59 
                        
                        5 - 9 pad
                    
                                    22%
                        
                        
                            $6.69 
                        
                        10 - 19 pad
                    
                                    30%
                        
                        
                            $5.99 
                        
                        20 - 29 pad
                    
                                    36%
                        
                        
                            $5.49 
                        
                        30 - 39 pad
                    
                                    48%
                        
                        
                            $4.39 
                        
                        40 +  pad
                    
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                                    Custom Dental Charge Slips, 4" x 5-1/2", 100 Sheets per Pad
                                
                                
Frequently bought together
Item #: 901-QFN131151R
                                            
                         $8.59 
                    
                        5-9 pad
                                  ($0.09/EACH)  
                
                                                                        Save 48%
                
                
                         $4.39 
                    
                        40+  pad
                                  ($0.04/EACH)  
                $42.95
+
                +
                
                    Total
                    $127.89
                
                
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                            Description
        
                    This simple form is easy to use and a great way to make sure you are accurately charging for services.
                    
                
            - Use to provide costs and services to patients
- 4" W x 5-1/2" L
- White 20# text stock; printed in black ink
- 100 sheets per pad, order in quantities of 5 pads
- Padded at the top
Specifications
        
                    # Up Per Sheet/Page
                
                
                    1
                
                
                    Binding Type
                
                
                    Padded
                
                
                    Brand
                
                
                    Quill Custom Print
                
                
                    Carbonless
                
                
                    No
                
                
                    Color
                
                
                    White
                
                
                    Customizable
                
                
                    Yes
                
                
                    Form Size
                
                
                    4" x 5-1/2"
                
                
                    Form Type
                
                
                    Charge Slip
                
                
                    Format
                
                
                    Dental Treatment Notes Form
                
                
                    Holes Punched
                
                
                    No
                
                
                    Lines
                
                
                    7
                
                
                    Media Quantity
                
                
                    100
                
                
                    NCR Paper
                
                
                    No
                
                
                    Number of Parts
                
                
                    1
                
                
                    Numbered
                
                
                    No
                
                
                    Package Quantity
                
                
                    100 per Pad
                
                
                    Personalization
                
                
                    Yes
                
                
                    Security Features
                
                
                    No
                
                
                    Sheet Size
                
                
                    4" x 5-1/2"
                
     
                     
                                                