Fill Out The Form To Receive A FREE SAFEPAK

If you would like us to mail you a FREE SafePak so you can safely ship us your Dental Scrap simply fill out the Form to your right.

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Full Name

Address (including Suite or Apt #)

City, State, Zip Code, Country

Email Address

Phone Number


NOTE: If you do not have an email address call us at 1-800-803-1770 and request your FREE SAFEPAK over the phone. When the system asks for your email address simply reply, “I don’t have email.”

We ask that you fill out all of your information so we can keep you up-to-date and informed throughout the entire process. You will receive an email after you first sign up for a SAFEPAK, which will include your personal tracking information. Once we receive your SAFEPAK, we will notify you again via email. And lastly, we will inform you once your check has been mailed.

We will be in contact with you via email, phone, or postal mail should
we have any issues with your SAFEPAK processing.

Your information will be used for in-house purposes ONLY. Cash for Dental Scrap
does not sell or rent your personal information to any third
parties. If you would like to read our Privacy Policy in full simply
click the link at the bottom of the site.

If you have any further questions or need assistance email us at or call us at 1-800-803-1770