Recycling Program registration page

Please complete the registration page below to receive your free case of OPTIM wipes, reusable tote bag and cash rebate.  Please allow 6-8 weeks for delivery.

Please contact our Customer Service department If you have any questions at uscustomerservice[a]scican.com or call 1.800.572.1211.

1. Complete the e-form below and press the SUBMIT button.

2. Fax a copy of your original invoice to 724-820-1479.

Doctor's name: *
Doctor's address: *
Town / city: *
State: 
Zip code: *
Office email: *
Dealer name: *
Dealer location: *
STATIM selection:  STATIM 2000
STATIM 5000
STATIM 7000
STATIM serial number: 
 
Please enter the text that you see in the image below:
 
 

Bottom image