Specialty Appliances team members at work across the lab floor

Supply Request Form.

Easily request the mailing supplies you need for your orthodontic practice with Specialty Appliances' convenient supply request form.

Get Started

Specialty Appliances™ provides you with complimentary mailing supplies to make your experience with us convenient and hassle-free! Simply complete the form below to request your items.

Please complete the following form and then click the “Submit Request” button that appears below to forward your request to a customer service representative.

Company Name(Required)

Contact Name(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

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Please check this box if you are a new customer. (New customers will receive an Information Kit)

Mailing Labels

USPS Prepaid Mailing Labels

Appliance Information

Color Guide

Price List

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