CUSTOM ELECTRONIC METER TICKET (ET-12) Parts:3-Part This Credit Application (printed on

This Credit Application (printed on back) comes standard in one color

Fine point options: Fine point includes choice of black or blue ink

PAPER: Laser Bond

Dentist can quickly scan the completed form & identify problem "yes" areas to discuss with the patient

address and telephone number

CUSTOM ELECTRONIC METER TICKET (ET-12) Parts:3-Part This Credit Application (printed on**CARBONLESS PAPER No Carbons** The ET 12 Meter Ticket comes standard with one color. An additional color can be added for $40 and you can choose what sections to colorize. SIZE: 11 3 4 inches x 4 1 4 inches PARTS: 2 Part (White Yellow) & 3 Part (White Yellow White Tag) COLORS: Black, Red (PMS 185), Green (PMS 347), Brown (PMS 463), Reflex Blue, Process Blue *This chart is for reference guide only. Pantone colors on computer screens may vary based on