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.

  • American Express
    Discover
    MasterCard
    Visa
     
  • 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.
  • Date Format: MM slash DD slash YYYY
  • This field is for validation purposes and should be left unchanged.

ABOUT SAESHIN

SAESHIN has been manufacturing high-precision dental handpieces since 1976.
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 is consistently improving technology and premium quality to become one of the top companies in the global dental device market.

MON – FRI 7:00 AM – 5:00 PM PST

SAT, SUN Closed