Breadcrumb Home Request a Refund Please fill out the form below to begin your DenTek™ dental guard refund request. First Name Last Name Your email address Phone Street Address Apartment, suite, unit, etc. City State / Province - Select a value -AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingDistrict of ColumbiaAmerican SamoaGuamNorthern Mariana IslandsPuerto RicoUnited States Minor Outlying IslandsVirgin Islands, U.S.AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon ZIP / Postal Code Product - Select a value -DenTek™ Ultimate Dental GuardDenTek™ Professional Fit Dental GuardDenTek™ Comfort Fit Dental Guard Upload an image of the guard Formats accepted are jpg, jpeg, png, gif and pdf. 5MB maximum. Reason for refund - Select a value -Fitting IssueProduct DamagedOther Other Reason Receipt Date of purchase must be visible on the receipt. Formats accepted are jpg, jpeg, png, gif and pdf. 5MB maximum. Case Number If you have an existing case number for your refund request please include it here.
