Phone: (800) 273-5033
Fax: (310) 204-1440

SELECT SYSTEM TYPE

  

[ ] SINGLE USER SOFTWARE

EZ 2000 #1 Rated DENTAL SOFTWARE · SOFTWARE MANUAL – W/SCREEN PRINTS indexed by topic · 8 hrs. TRAINING & 12 MOS. FREE TECH. SUPPORT · 12 MONTHS FREE UPDATES AND ENHANCEMENT SERVICE -->> Licensed for one computer

$2,395

[ ] MULTI USER SOFTWARE

EZ 2000 #1 Rated DENTAL SOFTWARE · SOFTWARE MANUAL – W/SCREEN PRINTS indexed by topic · 8 hrs. TRAINING & 12 MOS. FREE TECH. SUPPORT · 12 MONTHS FREE UPDATES AND ENHANCEMENT SERVICE -->>> Licensed for two computers using software simultaneously
$3,395

(Additional station licenses over the first 2 stations: $100 each)

[ ] SINGLE USER COMPLETE PACKAGE SYSTEM

EZ 2000 #1 Rated Dental Software, Dell Intel Core 2 Duo Processor, 2.90 Ghz. Processing Speed, Windows-XP Prof. or 7, 2 GB RAM memory, CD/DVD, 250 GB HD, 20” Widescreen Flat Panel Monitor, Dell LaserJet Printer, USB Flash Backup Drive
$3,995

(or lease @ $85 / month for 60 months)

[ ] TWO STATION COMPLETE PACKAGE SYSTEM

EZ 2000 #1 Rated Dental Software, 2 X Dell Intel Core 2 Duo Processors, 2.80 Ghz. Processing Speed, 2 GB RAM memory, Windows XP Prof. or 7, CD/DVD, 250 GB HD, 2 X 20 inch Widescreen Flat Panel Monitors, 1 X Dell Laser Printer, USB Backup drive.
$5,995

(or lease @ $128 / month for 60 months)

[ ] THREE STATION COMPLETE PACKAGE SYSTEM

EZ 2000 #1 Rated Dental Software, 3 X Dell Intel Core 2 Duo Processors, 2.66 Ghz. Processing Speed, 2 GB RAM memory, Windows XP Prof. or 7, CD/DVD, 250 GB HD, 3 X 20 in. Widescreen Flat Panel Monitors, 1 X Dell Laser Printer, USB Backup drive.
$7,495

(or lease @ $160 / month for 60 months)

[ ] FOUR STATION COMPLETE PACKAGE SYSTEM

EZ 2000 #1 Rated Dental Software, 4 X DELL Intel Core 2 Duo Processors, 2.80 Ghz. Processing speed, 2 GB RAM memory, CD/DVD, 250 GB HD, 4 X 20 in. Widescreen Flat Panel Monitors, 1 X Dell Laser Printer, USB Backup Drive.
$8,995

(or lease @ $192 / month for 60 months)
HARDWARE ACCESSORIES  
[ ] "Dent-X EVA" Digital X-ray Sensor - specify (Small) or (Reg) (comes with ProImage Software, USB dockling station, accessories)
$6,495
[ ] Additional "EVA" docking stations for sensor (necessary for other operatories; 1 dock station per operatory)
$300 each
[ ] "TPC Advanced" Wireless intra-oral camera (includes 1 docking station to one computer in first operatory)
$1,995
[ ] Additional docking stations for camera
$750 each
[ ] USB Wired EZ IntraOral Camera
$995 each
[ ] Scanner for x-rays (flatbed not sensor type) w/ high res transparency adapter
$600

[ ] Mobile Camera/Sensor/Computer/Monitor CART (necessary if you want to have one mobile station and roll from room to room to avoid having to buy additional computers and docking stations for each operatory)
$350
SOFTWARE ACCESSORIES  
[ ] EZ-Imaging Software (includes bridge to EVA x-ray Pro-Image software)
$500

[ ] EZ Perio Charting Software
$500
APPLICABLE TRAVEL FEES
[ ] I am located outside of California. Add trainer's travel costs.
$750

[ ] I am in Northern California. Add trainer's travel costs.
$500
PAYMENT TYPE (Check or Lease)
[ ] Enclosed is my check for $________________ , payable to "EZ 2000, Inc."

[ ] I prefer to lease. I am faxing this form to you. Please fax me a leasing application form. Please contact me as soon as you receive this and thank you.

NAME: __________________________________________________________________

ADDRESS: ______________________________________________________________

CITY/ST/ZIP: ______________________________________________________________

PHONE: ________________________________________________________________

FAX: __________________________________________________________________

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