Bestellblock · Order formVITAPAN®

Stand · Date of issue 04.10

VITA shade controlVITA shade reproductionVITA shade communicationVITA shade taking

Bestellblock·OrderformVITAPAN®

VITAclassicalA–Dshades,Posteriores

VITA classical A – D shades

Posteriores

A1 A2 A3 A3,5 A4 B2 B3 B4 C1 C2 C3 C4 D2 D3 D4 Formmould

Formmould

10 S ▲

10 S ▼

11S ▲

11S ▼

12 S ▲

12 S ▼

13 S ▲

13 S ▼

14 S ▲

14 S ▼

10 S ▲

10 S ▼

11S ▲

11S ▼

12 S ▲

12 S ▼

13 S ▲

13 S ▼

14 S ▲

14 S ▼

TOTAL

A1 A2 A3 A3,5 A4 B2 B3 B4 C1 C2 C3 C4 D2 D3 D4 Formmould

Formmould

40 C ▲

40 C ▼

41C ▲

41C ▼

42 C ▲

42 C ▼

43 C ▲

43 C ▼

44 C ▲

44 C ▼

45 C ▲

45 C ▼

40 C ▲

40 C ▼

41C ▲

41C ▼

42 C ▲

42 C ▼

43 C ▲

43 C ▼

44 C ▲

44 C ▼

45 C ▲

45 C ▼

TOTAL

814M

P-0

709

( 600

BL)

S

VITA

PAN

SYN

OFO

RMVI

TAPA

N C

USP

IFO

RMLI

NG

OFO

RM

Depot . Dental Dealer : Besteller . Customer : Auftrags-Nr. . Purchase Order No. :

Datum . Date :

VITAPAN®/ VITA LINGOFORM® Posteriores

VITA Zahnfabrik H. Rauter GmbH & Co. KG

Postfach 1338 • D-79704 Bad Säckingen • Germany

Tel.: +49 / 77 61/ 562-0 • Fax: +49 / 77 61 / 562-299

Formmould

FormmouldA1 A2 A3 A3,5 A4 B2 B3 B4 C1 C2 C3 C4 D2 D3 D4

21L ▲ 21L ▲21L ▼ 21L ▼22L ▲ 22L ▲22L ▼ 22L ▼23L ▲ 23L ▲23L ▼ 23L ▼24L ▲ 24L ▲24L ▼ 24L ▼

TOTAL