Free Goods Fulfillment Form

Invoices may also be mailed to: Kulzer, Attn: Free Goods Fulfillment, 4315 S. Lafayette Blvd., South Bend, IN 46614, or emailed to: freegoods.NA@kulzer-dental.com—with the exception of Modern Materials Gypsums, which are fulfilled with order by dealer. All invoices must be received within 30 days of offer expiration. All offers subject to change. Not to be combined with any other offers. Products showing as backorder on invoices are not eligible for redemption; backorder invoices must be included at the time of submission. No substitutions unless specifically identified in the promotion. Free item(s) is always equal or lesser value to the purchased item(s). Please allow 6–8 weeks from date invoice is received for delivery.