SCHEDULE A PICK-UP

LOCATED IN OUR DELIVERY/PICK-UP AREA?

SIMPLY FILL OUT THE FORM BELOW TO SCHEDULE A PICK-UP.

WHERE SHOULD WE PICK-UP?

For our Florida location, complimentary pick-up & delivery is available Monday through Friday for offices located in Palm Beach County.
For our Texas location, complimentary pick-up & delivery is available Monday through Friday for offices located in the Downtown Fort Worth Metroplex area.

NAME OF PRACTICE (required)

DENTIST'S NAME (required)

YOUR NAME (required)

ADDRESS LINE 1 (required)

ADDRESS LINE 2

CITY (required)

STATE (required)

ZIP (required)

TELEPHONE (required)

EMAIL (required)

DATE OF PICK-UP (required)

NOTES

CONTACT US

FLORIDA LOCATION
6313 SOUTH DIXIE HIGHWAY
WEST PALM BEACH, FL 33405
561.899.0606
INFO@CCCLAB.DENTAL
TEXAS LOCATION
1506A MINERAL WELLS HIGHWAY
WEATHERFORD, TEXAS 76086
817.596.7086
INFO@CCCLAB.DENTAL