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VERY IMPORTANT: THIS ORDER FORM IS FOR NOVOLASE USERS ONLY. IF THERE IS A CREDENTIAL MISMATCH WITH OUR DATABASE THE ORDER WILL BE AUTOMATICALLY CANCELLED AND THERE IS NO REFUND FOR 'NON-NOVOLASE' USERS.

I hereby affirm that I am an existing Novolase user and I agree to the above 'NO-REFUND' policy (Required)

I understand that my order may take upto 15 working days or more depending on the exact availability of stock (Required)

I shall refrain from sending unnecessary reminder messages /calls (Required)

Kindly Provide Your Details

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Select Your Products & Pay

3^rd GEN POLYIMIDE LASER TIPS (INR 650 including Handling & Courier Charges). MINIMUM QUANTITY OF 6 (You can select 6 or more assorted tips from Surgery, Perio or Endo)

Surgery Tips

Perio Tips

Endo Tips

ADVANCED FLEXI-18 ENDO LASER TIP (INR 2000 including Handling & Courier Charges). MINIMUM QUANTITY OF 2

NOVO GREEN CHITOSAN NANOPARTICLE PDT DYE (INR 2500 including Handling & Courier Charges). MINIMUM QUANTITY OF 2

NOVO BLUE CHITOSAN NANOPARTICLE PDT DYE (INR 1200 including Handling & Courier Charges). MINIMUM QUANTITY OF 2

24 K GOLD WHITENING GEL WITH 3 APPLICATOR TIPS (INR 1800 including Handling & Courier Charges). MINIMUM QUANTITY OF 2 (option to choose one 24K GOLD & one MISTY ASTER)

MISTY ASTER WHITENING GEL INCLUDING GINGIVAL BARRIER & 3 APPLICATOR TIPS (INR 1800 including Handling & Courier Charges). MINIMUM QUANTITY OF 2 (option to choose one 24K GOLD & one MISTY ASTER)

Amount to pay