MON - FRI 7:00 AM - 5:00 PM PST, SAT, SUN Closed 949-825-6925 [email protected]

Credit Card Authorization Form

Please complete all fields.This Credit Card Authorization Form will remain in full force and effect until
Saeshin America, Inc. has received written notification from the Cardholder (or either of us) of its termination.
It is also the Cardholder’s obligation to notify Saeshin America, Inc. in writing of any changes in the credit
card information, address, credit card number, CVC/CVV codes, or expiration date.

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  • I, _____________________________________, certify that I am the authorized holder and signer of the credit card referenced above and that all information is complete and accurate. I hereby authorize Saeshin America, Inc. to charge my credit card for agreed upon purchases.
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About Saeshin

Saeshin has been manufacturing high-precision micro-motor handpieces since 1976. With our endless pursuit for customer satisfaction and world’s leading experience, Saeshin R&D had led to successes of endodontic motors and implant engines such as E-CUBE, X-CUBE and TRAUS. All our products have obtained FDA, CE, KFDA and CFDA and we are exporting to over 120 countries. Saeshin has consistently improved technology to deliver premium quality and become one of the top companies in the dental device arena.

Mon – Fri 7:00 AM – 5:00 PM PST

Sat, Sun Closed