Take the Vatech Challenge

Vatech America understands your needs and the importance of breaking through the clutter of Digital Imaging solutions. We want to make your digital imaging choice as easy as 1-2-3! Simply fill in the following form, click submit, and a representative will contact you shortly. Your entry guarantees a chance to win a FREE iPad2 from Vatech America. Limit one chance per qualified entry. No purchase necessary to win ipad2.

Company/Practice:
Name:
Address:
City:
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Zip Code:
Phone:
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Specialty:
Product of Interest:	Select ProductAnRayESX-SeriesEzSensor Master3DSPaX-400PaX-500PaX-500ectPaX-Duo3DPaX-PrimoPaX-Reve3DPaX-Uni3DPaX-Zenith3DPicaso-Trio Dental SherpaEasyDentEz3D2009Ez3D2009 LiteOrthoVision
What are your current / future 2D imaging needs? (choose all that apply) Occasional Periapical Bitewing FMX Panoramic TMJ Cephlometric
What are your current / future 3D imaging needs? (choose all that apply) Impactions Lesions / Growth Assessment Implant Planning Root Canal Assessment TMJ Evaluation Sinus Evaluation Sleep Apnea Evaluation Orthognathic Surgery Orthodontic Evaluation
What is your digital infrastructure? Do you have computers in your operatories / hygiene rooms? No Yes What do you use your computer network for? Scheduling Patient Imaging Entertainment What type of practice management software do you have? EagleSoft PracticeWorks Dentrix Other Do you have Imaging Software? Yes No When are you interested in upgrading your digital infrastructure? ASAP 3 Months 6 Months 1 Year + Who is your main Dental Supplier? Please select Benco Dental Henry Schein Dental Patterson Dental Atlanta Dental Nashville Dental Tri-State Dental Burkhart Dental Midwest Dental Other
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