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<form action="index.php" method="post" name="contact_form" data-json="1" class="contact_form">
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      <textarea cols="30" rows="7" id="CONTACT18_COMMENTS" name="DATA[COMMENTS]" dir="ltr" class=" form-control mandatory" ></textarea>
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<div class="spaser"></div>

  <div align="center" class="text-center but">


    <input type="submit" name="submit" value="Submit" class="btn btn-danger mt-2 mb-3">

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</div>

    <input type="hidden" value="SKY226" name="DATA[PRODUCT_SKU]" id="CONTACT18_PRODUCT_SKU" class=" mandatory form-control" >
    <input type="hidden" value="Air Water 3 Way Syringe Tips Clear 250/Bag (Sky Choice)" name="DATA[PRODUCT_NAME]" id="CONTACT18_PRODUCT_NAME" class=" mandatory form-control" >
    <input type="hidden" value="https://www.skydentalsupply.com/sky-air-water-tips-clear-clear.htm" name="DATA[PRODUCT_LINK]" id="CONTACT18_PRODUCT_LINK" class=" mandatory form-control" >

    	<input type="hidden" name="params[cat_id]" value="air-water-tips-disposable">

    <input type="hidden" name="TAG" value="CONTACT18">

    <input type="hidden" name="section" value="contact_form">
    <input type="hidden" name="userid" value="">
    <input type="hidden" name="ac" value="insert">
</FORM>


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<div class="modal fade" id="ASKModal" tabindex="-1" aria-labelledby="ASKModalLabel" aria-hidden="true">
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	<form action="/" method="post" name="contact_form" class="form-horizontal contact_form" data-ga-event-category="contact_form" data-ga-event-action="submit" data-ga-event-label="CONTACT5">
	<div align="center" class="error_mess ajax_errors" style="display:none"></div>
	<DIV class="form_err_message error_mess" align="center">
		<span class="form_email_error">Value entered for e-mail is invalid<br></span>
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	</DIV>


		 <div class="row form-group mb-3">
		    <label class="col-md-4 col-form-label text-md-end">Full Name:<b class="madatorystar">*</b></label>
		    <div class="col-md-8">
		     <input type="text" value="" name="DATA[LNAME]" size="45" maxlength="255" dir="ltr" id="ASK_LNAME" class=" mandatory form-control" >
		    </div>
		 </div>
		<div class="row form-group mb-3">
		    <label class="col-md-4 col-form-label text-md-end">Company:</label>
		    <div class="col-md-8">
		     <input type="text" value="" name="DATA[COMPANY]" size="45" maxlength="255" dir="ltr" id="ASK_COMPANY" class=" form-control" >
		    </div>
		 </div>
		 <div class="row form-group mb-3">
		    <label class="col-md-4 col-form-label text-md-end">E-mail:<b class="madatorystar">*</b></label>
		    <div class="col-md-8">
		     <input type="text" value="" name="DATA[EMAIL]" size="45" maxlength="255" dir="ltr" id="ASK_EMAIL" class=" mandatory form-control" >
		    </div>
		 </div>
		 <div class="row form-group mb-3">
		    <label class="col-md-4 col-form-label text-md-end">Phone Number</label>
		    <div class="col-md-8">
		     <input type="text" value="" name="DATA[PHONE]" size="45" maxlength="255" dir="ltr" id="ASK_PHONE" class=" form-control" >
		    </div>
		 </div>
		 <div class="row form-group mb-3">
		    <label class="col-md-4 col-form-label text-md-end">Please specify the products you’re interested in:</label>
		    <div class="col-md-8">
		    <textarea cols="30" rows="5" id="ASK_COMMENTS" name="DATA[COMMENTS]" dir="ltr" class=" form-control" ></textarea>
		    </div>
		 </div>


      </div>
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       <button type="button" class="btn btn-secondary" data-bs-dismiss="modal">Close</button>
        <input type="submit" name="submit" value=" Send " class="btn btn-primary">

      </div>


<input type="hidden" name="BUFFER" value="CONTACT_US">
<input type="hidden" name="section" value="contact_form">
<input type="hidden" name="TAG" value="CONTACT5">
<input type="hidden" name="ac" value="insert">
<input type="hidden" name="next_action" value="default">
<input type="hidden" name="next_section" value="contact_us_thanks">
<input type="hidden" name="onerror_section" value="products_zoom">

  <input type="hidden" name="onerror_tag" value="SKY226">
  <input type="hidden" name="next_tag" value="SKY226">


	<input type="hidden" name="params[cat_id]" value="air-water-tips-disposable">

</FORM>


    </div>
  </div>
</div>


<!--File templates/contact_form6.html doesn't exist-->

<div class="modal fade" ID="main_login_form_popup">
    <div class="modal-dialog">
        <div class="modal-content">

        	<div class="modal-header">
		        <h5 class="modal-title" id="main_login_form_popupLabel">Login Into Your Account</h5>
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            <div class="modal-body">


                    <div class="login-dialog-content login_related">
                        <!--Error messages (the old way, i.e. we DO NOT USE IT NOW!) STARTS-->
                        
                        
                        <!--Error messages (the old way) ENDS-->

                        <!--Login form Starts-->
                        
                        <form action="https://www.skydentalsupply.com/index.php" method="post" name="login_form" id="main_login_form" class="">
                            <span class="hidden ajax_next_url"><!--replace this comment with URL--></span>
                            <DIV class="text-center form_err_message error_mess"><br>
                                <span class="form_email_error error_mess">Value entered for e-mail is invalid<br></span>
                                <span class="form_password_error error_mess">Passwords don't match<br></span>
                                <span class="form_mandatory_error error_mess">Please fill up missing fields below</span>
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                                <span class="hidden error_mess err_can_not_be_empty">Login or password can not be empty</span>
                                <div class="hidden error_mess text-center password_reset">A reset password e-mail has been sent to the provided address</div>
                            </DIV>

                            <div class="login_form">
                                <div class="form-group row email">
                                    <label class="col-3 col-form-label">E-mail:<b class="madatorystar">*</b></label>
                                    <div class="col-9">
                                        <input type="text" value="" name="DATA[EMAIL]" size="35" maxlength="255" dir="ltr" id="LOGIN_EMAIL" placeholder="Enter your e-mail used as login" class=" mandatory email form-control form-control-sm" >
                                    </div>
                                </div>
                                <div class="form-group row pass">
                                    <label class="col-3 col-form-label">Password:<b class="madatorystar">*</b></label>
                                    <div class="col-9">
                                        <input type="password" value="" name="DATA[PASSWORD1]" size="35" maxlength="255" dir="ltr" id="LOGIN_PASSWORD1" placeholder="Enter your account password" class=" mandatory form-control form-control-sm" >
                                    </div>
                                </div>
                                <div class="form-group row log_automatic">
                                    <div class="offset-md-3 col-9">
                                        <div class="checkbox">
                                            <label FOR="REMEMBER">
                                                <input type="checkbox" name="DATA[REMEMBER_ME]" value="1" ID="REMEMBER" checked> Log me in automatically next time
                                            </label>
                                        </div>
                                        <div class="reset">
                                            <A href="#" data-toggle="tooltip" data-placement="top" title="Request a password reset" class="login_forgot_pass" rel="nofollow">Forgot your password?</A>
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                            <input type="hidden" name="section" value="login">
                            <input type="hidden" name="ac" value="login">
                            <input type=hidden name="ACC_TPY" value="CUSTOMERS">
                            <input type="hidden" name="userid" value="" class="js_userid">
                            <!--Use .ajax_next_url to control redirect after login-->
                        </FORM>

                        
                    </div>

                    <div class="forgot-pass-dialog-conent forgot_pass_related">

                        <!--Error messages (the old way, i.e. we DO NOT USE IT NOW!) STARTS-->
                        
                        
                        <!--Error messages (the old way) ENDS-->

                        <!--Login form Starts-->

                        <form action="index.php" method="post" name="forgot_form" id="forgot_form" class="">
                            <span class="hidden ajax_next_url"><!--replace this comment with URL--></span>
                            <DIV class="text-center form_err_message error_mess"><br>
                                <span class="form_email_error">Value entered for e-mail is invalid<br></span>
                                <span class="form_mandatory_error">Email can not be blank</span>
                                <span class="hidden error_mess err_acc_not_found_subportal">Account with that email address does not exist at this portal. Please try again.</span>
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                            </DIV>


                            <div class="form_block login_form">
                                <div class="form-group row email">
                                    <label class="col-3 col-form-label">E-mail:<b class="madatorystar">*</b></label>
                                    <div class="col-9">
                                        <input type="text" value="" name="DATA[EMAIL]" size="35" maxlength="255" dir="ltr" id="EMAIL_FORGOT" placeholder="Enter E-mail address you used during registration" class=" mandatory email form-control form-control-sm" >
                                    </div>
                                </div>
                                <div class="form-group log_automatic">
                                    <div class="offset-md-3 col-9">
                                        <div class="reset">
                                            <A href="#" data-toggle="tooltip" data-placement="top" title="Open login form" class="login_login">Login into your account</A>
                                        </div>
                                    </div>
                                </div>
                            </div>
                            <input type=hidden name="ACC_TPY" value="CUSTOMERS">
                            <input type=hidden name="DATA[ACC_TPY]" value="CUSTOMERS">

                            <input type="hidden" name="section" value="forgot_pass">
                            <input type="hidden" name="ac" value="update">
                            <input type="hidden" name="userid" value="">

                            <!--Use .ajax_next_url to control redirect after login-->
                        </FORM>
                    </div>

                   <div class="form-group row">
                     <div class="offset-md-3 col-9">
                       
                        <button type="button" class="btn  btn-danger login_related" id="main_login_dialog_submit_btn" data-login_form="main_login_form">Login to Account</button>
                        <button type="button" class="btn btn-primary forgot_pass_related" id="main_forgot_pass_submit_btn" data-login_form="forgot_form">Recover password</button> 
                        
                    </div>
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                    <DIV class=" login-popup-reg">
                        
                    <h4 class="text-center">Don't have an account?</h4>
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        </div><!-- /.modal-content -->
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</div><!-- /.modal -->
		

<div id="mm-quote" class="modal fade" tabindex="-1" aria-labelledby="mm-quoteLabel" aria-hidden="true">
	  <div class="modal-dialog">
		<div class="modal-content">

			 <div class="modal-header">
		        <h5 class="modal-title" id="mm-quoteLabe">Latest Catalog Now Available</h5>
		        <button type="button" class="btn-close" data-bs-dismiss="modal" aria-label="Close"></button>
		      </div>


	<form action="index.php" method="post" name="contact_form" class="contact_form" data-json="1">

		  <div class="modal-body">

						<div class="text-center alert alert-danger ajax_errors" style="display:none"></div>
						<DIV class="form_err_message text-center alert alert-danger">
							<span class="form_email_error">Value entered for e-mail is invalid<br></span>
							<span class="form_password_error">Passwords don't match<br></span>
							<span class="form_mandatory_error">Please fill up missing fields below</span>
						</DIV>
						

						  <div class="row form-group mb-3">
							<label class="col-md-4 col-form-label text-md-end">Full Name: <b class="madatorystar">*</b></label>
							 <div class="col-md-8">
							  <input type="text" value="" name="DATA[LNAME]" size="45" maxlength="255" dir="ltr" id="CONTACT10_LNAME" class=" form-control mandatory" >
							</div>
						  </div>
  							<div class="row form-group mb-3">
							<label class="col-md-4 col-form-label text-md-end">Company:</label>
							 <div class="col-md-8">
							  <input type="text" value="" name="DATA[COMPANY]" size="45" maxlength="255" dir="ltr" id="CONTACT10_COMPANY" class=" form-control mandatory" >
							</div>
						  </div>


						  <div class="row form-group mb-3">
							<label class="col-md-4 col-form-label text-md-end">E-mail: <b class="madatorystar">*</b></label>
							 <div class="col-md-8">
							  <input type="text" value="" name="DATA[EMAIL]" size="45" maxlength="255" dir="ltr" id="CONTACT10_EMAIL" class=" form-control mandatory mail" >
							</div>
						  </div>
						  <div class="row form-group mb-3">
							<label class="col-md-4 col-form-label text-md-end">Phone Number:</label>
							 <div class="col-md-8">
							  <input type="text" value="" name="DATA[PHONE]" size="45" maxlength="255" dir="ltr" id="CONTACT10_PHONE" class=" form-control" >
							</div>
						  </div>
						  <div class="row form-group mb-3">
							<label class="col-md-4 col-form-label text-md-end">Comments or Questions:</label>
							 <div class="col-md-8">
							  <textarea cols="30" rows="5" id="CONTACT10_COMMENTS" name="DATA[COMMENTS]" dir="ltr" class=" form-control" ></textarea>
							</div>
						  </div>
 							
					
		  </div>
		  <div class="modal-footer text-center">

		  	  <button type="button" class="btn btn-secondary" data-bs-dismiss="modal">Close</button>
       		
       		 <input type="submit" name="submit" value=" Send " class="btn btn-primary">	

			
					<input type="hidden" name="BUFFER" value="CONTACT_US">
					<input type="hidden" name="section" value="contact_form">
					<input type="hidden" name="TAG" value="CONTACT10">
					<input type="hidden" name="ac" value="insert">
					<input type="hidden" name="next_action" value="default">
					<input type="hidden" name="next_section" value="catalog_request">
					<input type="hidden" name="onerror_section" value="products_zoom">
					
					  <input type="hidden" name="onerror_tag" value="SKY226">
					  <input type="hidden" name="next_tag" value="SKY226">
					   
					 
						<input type="hidden" name="params[cat_id]" value="air-water-tips-disposable">

			
		  </div>
			</FORM>
					
		</div><!-- /.modal-content -->
	  </div><!-- /.modal-dialog -->
	</div><!-- /.modal -->		


<div class="modal fade" id="QUOTEModal" tabindex="-1" role="dialog" aria-labelledby="QUOTEModalLabel">
  <div class="modal-dialog" role="document">
    <div class="modal-content">
      <div class="modal-header">
      	<h5 class="modal-title"  id="QUOTEModalLabel">Request A Free Quote</h5>
        <button type="button" class="close" data-dismiss="modal" aria-label="Close">
          <span aria-hidden="true">&times;</span>
        </button>
      </div>
      <div class="modal-body">


<form action="index.php" method="post" name="contact_form" class="form-horizontal contact_form" data-ga-event-category="contact_form" data-ga-event-action="submit" data-ga-event-label="CONTACT3">
<div align="center" class="error_mess ajax_errors" style="display:none"></div>
<DIV class="form_err_message error_mess" align="center">
	<span class="form_email_error">Value entered for e-mail is invalid<br></span>
	<span class="form_password_error">Passwords don't match<br></span>
	<span class="form_mandatory_error">Please fill up missing fields below</span>
</DIV>


	<div class="form-group row">
	    <label class="col-sm-4 control-label">First Name<b class="madatorystar">*</b></label>
	    <div class="col-sm-8">
	      <input type="text" value="" name="DATA[FNAME]" size="45" maxlength="255" dir="ltr" id="CONTACT_FNAME" class=" mandatory form-control" >
	    </div>
  	</div>
  	<div class="form-group row">
	    <label class="col-sm-4 control-label">Last Name<b class="madatorystar">*</b></label>
	    <div class="col-sm-8">
	      <input type="text" value="" name="DATA[LNAME]" size="45" maxlength="255" dir="ltr" id="CONTACT_LNAME" class=" mandatory form-control" >
	    </div>
  	</div>
	<div class="form-group row">
	    <label class="col-sm-4 control-label">E-mail<b class="madatorystar">*</b></label>
	    <div class="col-sm-8">
	      <input type="text" value="" name="DATA[EMAIL]" size="45" maxlength="255" dir="ltr" id="CONTACT_EMAIL" class=" mandatory form-control" >
	    </div>
  	</div>
	<div class="form-group row">
	    <label class="col-sm-4 control-label">Phone</label>
	    <div class="col-sm-8">
	     <input type="text" value="" name="DATA[PHONE]" size="45" maxlength="255" dir="ltr" id="CONTACT_PHONE" class=" form-control" >
	    </div>
  	</div>
  	
	<div class="form-group row">
	    <label class="col-sm-4 control-label">Ship to Country<b class="madatorystar">*</b></label>
	    <div class="col-sm-8">
	   	<select size="1" id="CONTACT_COUNTRY" name="DATA[COUNTRY]" dir="ltr" class=" mandatory form-control" ><option value="USA" class=" " >UNITED STATES</option>
<option value="CA" class=" " >CANADA</option>
<option value="MX" class=" " >MEXICO</option></select>
	    </div>
  	</div>
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	    <label class="col-sm-4 control-label">System you are interested in</label>
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	   <textarea cols="30" rows="2" id="CONTACT_SYSTEM" name="DATA[SYSTEM]" dir="ltr" class=" form-control" ></textarea>
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	    <label class="col-sm-4 control-label">Comments</label>
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		<input type="submit" name="submit" value="Request a Quote" class="btn btn-primary">

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<input type="hidden" name="BUFFER" value="CONTACT_US">
<input type="hidden" name="section" value="contact_form">
<input type="hidden" name="userid" value="">
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</FORM>

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</body>
</html><!--
Page: products_zoom, (Action: default) 
TOP template: templates/top_products.html
MIDDLE template: templates/mid_products_zoom.html
BOTTOM template: templates/bottom.html

Include: templates/top.html
Include: templates/inc_meta.html
Include: templates/inc_og_tags.html
Include: templates/inc_top_scripts.html
Include: templates/inc_top_acc_scripts.html
Include: templates/inc_top_search.html
Include: templates/inc_login_top.html
Include: templates/inc_top_menu.html
Include: templates/inc_product_zoom_picture.html
Include: templates/inc_product_zoom_picture_list.html
Include: ./templates/lists/inc_list_price.html
Include: ./templates/inc_wishlist_list.html
Include: ./templates/inc_sold_out.html
Include: ./templates/inc_sold_out.html at module LIST_products [1]
Include: ./templates/contact_form17.html
Include: ./templates/contact_form17.html at module LIST_products [1]
Include: templates/contact_form20.html
Include: templates/inc_popup_zoom_modal.html
Include: templates/inc_company_links.html
Include: templates/inc_modals.html
Include: templates/inc_msh_modals.html
Include: templates/inc_add_address_modal_form.html
Include: templates/contact_form18.html
Include: templates/contact_form5.html
Include: templates/inc_login_dialog.html
Include: templates/contact_form10.html
Include: templates/contact_form3.html
Include: templates/inc_popup_modal.html
Include: templates/inc_bot_scripts.html
Include: templates/inc_analytics.html
Include: templates/lists/inc_free_shipping.html at module LIST_VIEWCART
Include: templates/lists/inc_list_pictures.html at module LIST_products [1]
Include: templates/lists/inc_list_price.html at module LIST_products [1]

$LIST_VIEWCART Type: LIST  (xml) (
			 ENTIRE_LIST_TEMPLATE: templates/lists/cart-popup_list.html
			 ITEM_TEMPLATE: templates/lists/cart-popup_item.html
			 COLUMN:ID: (hard-coded) [BO] ) 
$TREE_products_categories_top Type: TREE  (xml) (
			 Level 1 default: templates/trees/top_menu_item1.html
			 Level 1 path: templates/trees/top_menu_item1.html
			 Level 1 current: templates/trees/top_menu_item1.html
			 Level 2 default: templates/trees/top_menu_item2.html
			 Level 2 path: templates/trees/top_menu_item2.html
			 Level 2 current: templates/trees/top_menu_item2.html
			 Level 3 default: templates/trees/top_menu_item3.html
			 Level 3 path: templates/trees/top_menu_item3.html
			 Level 3 current: templates/trees/top_menu_item3.html) 
$LIST_top_menu_ex Type: LIST  (xml) (
			 ENTIRE_LIST_TEMPLATE: templates/lists/list.html
			 ITEM_TEMPLATE: templates/lists/top_menu_ex_item.html) 
$LIST_products_zoom Type: LIST  (xml) (
			 ENTIRE_LIST_TEMPLATE: templates/lists/list.html
			 DETAILS_DISCOUNTS_ITEM_TEMPLATE: templates/lists/product_discount_item.html) 
$LIST_products_zoom_picts Type: LIST  (xml) (
			 ENTIRE_LIST_TEMPLATE: templates/lists/product_pict_new_list.html
			 ITEM_TEMPLATE: templates/lists/product_pict_new_item.html) 
$LIST_products Type: LIST  (xml) (
			 ENTIRE_LIST_TEMPLATE: templates/lists/products_related_list_list.html
			 ITEM_TEMPLATE: templates/lists/products_list_item.html) 
$LIST_products [1] Type: LIST  (xml) (
			 ENTIRE_LIST_TEMPLATE: templates/lists/list.html
			 ITEM_TEMPLATE: templates/lists/products_list_item.html) 
-->