R | E | I | D | D | D | S   ALTERNATIVE DENTISTRY, WHERE THE ALTERNATIVE IS HEALTH
WELCOME · TO YOUR · DENTAL OFFICE   
 Reid Laurence Winick, D.D.S. 

Is on the leading edge of using new methods and technologies in the practice of Holistic Dentistry
 REIDDDS.COM
Phone: (212) 973-9425
Info@ReidDDS.com
My Dental Office:  Enbsp; Service  Enbsp; About Us  Enbsp; Contact Us   Enbsp; Dental Herb

ALTERNATIVE DENTISTRY, WHERE THE ALTERNATIVE IS HEALTH

The Ionic Toothbrush
ORDER FORM

The Package: 
5 BHTC hyG Original Power Source set with 1 brush head plus 2 bonus hyG replacement heads and sanitary travel cap. 

Retail $29.95
Special Internet Price $24.95
Quantity:
hyG Bristle Hardness: Please Specify

Soft

S&H, add $5.00

 

2BR Replacement Heads: 
4-pack for $12.00 Quantity:
S&H, add $3.00
hyG Bristle Hardness: Please Specify
Medium
Soft
1 HR hyG replacement power source handle for $12.50 each. 

Quantity:  

S&H, add $2.50 

 1 TC hyG Custom Travel 
Case for $6.00 each 

Quantity:  

S&H, add $2.50
Resident of New York?   

Total Merchandise:

Total Tax:

Total Shipping:

Order Total:

  (If your browser does not support Java, this form will not compute the order for you)  

Customer Information:

Name:

Address:

City:

State:  Zip: 

Country:

Phone:

Email:

MasterCard  Visa  Discover 

 

* You will contacted by Dr. Winick office by telephone to verify your order information.
**For mail orders, send a check or money order for the total amount including S&H (New York residents add sales tax) along with a copy of this form. Or enclose your credit card number and expiration date.

Mail to:
Reid Laurence Winick, D.D.S.
405 Lexintong Avenue Tower Suite 6900
New York, NY 10174
Phone: (212) 973-9425
Fax: (212) 973-1053

If you are having any troubles with this form please

*

PRIVACY
We respect your privacy - Information provided to us is only used to fulfill this order, we will not use it to contact you except if there is a question or problem in filling this order. We do not maintain a mailing list, e-mail or regular. You will not hear from us about anything else. Please bookmark our site for future orders.

If you would like to used your credit card with a secure order form
and not to be telephone by Dr Winick see below.

Click here to go to the secure order form for credit card orders. Or go to the bottom of this page to find an unsecured order form. If you use the unsecured order form we will call you by telephone to confirm your order and for credit Information. Otherwise, you can print the form and mail your check to our office.

The secure order form can be use safety if you desired the secure order form can be use for credit cards orders. This form will work with all current browsers including Microsoft Internet Explorer, AOL and WebTV.

We accepting the following credit cards

 with the secure and we now accept PayPal

When you desire the finest and newest technologies in holistic dentistry, call:

(212) 973-9425
©1999, 2001 Reiddds.com