Sample Requests Form

We are happy to provide samples of some of the popular products that we manufacture.These include proprietary:

  • Endodontic solutions
  • Dripless Syringe w/tips
  • Specialty, Application and Irrigating tips
  • Hemostatic and restorative agents

Note: One (1) free sample per card. If more than 1 product is checked, free samples may not be processed, or, Vista may choose the sample to send. Addresses must be an office address, we cannot send to a private residence address. Without verified office address, sample may not be sent.

Sample Request Form