HOME / SUBMIT YOUR TESTIMONIAL SUBMIT YOUR TESTMONIAL *Required field Select ProductOMNICHROMAOMNICHROMA FlowOMNICHROMA Flow BULKOMNICHROMA BLOCKEROMNICHROMA BLOCKER FlowTokuyama Universal BondESTECEM IIEstelite Sigma QuickEstelite OmegaEstelite ColorBond ForceOne-Up Bond F PlusMetaltiteTokuso Rebase Mr. BondShield Force PlusSofreliner ToughRebase IIISilicone Remover Select State/ProvinceAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoryNova ScotiaNunavut TerritoryOntarioPrince Edward IslandQuebecSaskatchewanYukon You can add a file to your testimonial. Please select below. Upload File Maximum file size 2MB. If you'd like to add multiple files, please zip those. For file(s) bigger than 2MB, We will send you a message with invitation link to go to the page to upload file(s). Terms and ConditionsBy clicking Submit, you acknowledge that you are granting Tokuyama Dental America unrestricted rights to use your submitted videos, photos and/or text. Tokuyama Dental America may use your submission, in full or edited, for marketing and promotional purposes, and without compensation or review by you or your featured patient(s). You further acknowledge that you have secured releases from any patient featured in your testimonial, and are willing to provide a copy of the release(s) to Tokuyama Dental America, if needed. You also acknowledge that you are giving Tokuyama Dental America permission to add you to the opt-in mailing list, and will allow Tokuyama Dental America to send you promotional emails regarding products and promotions.
