Practice information
State
ACT
NSW
NT
QLD
SA
TAS
VIC
WA
I agree to all
Terms and Conditions
for Dental Innovations Membership, Chatline Confidentiality Agreement, Online Ordering Service and Privacy Act with release content.
Online ordering registration
Please tick if Shipping address and billing address are the same as practice address above.
Please tick if billing address is different from practice address and provide details below.
Billing Address
State
ACT
NSW
NT
QLD
SA
TAS
VIC
WA
Ordering portal access
:
Nominated person overseeing use of online ordering site in the practice. They are able to set budgets, authorise orders where required (optional), run reports and set up users. A temporary username and password will be emailed to your nominated email address.
I request all current suppliers to release 12 months of ordering history to Dental Innovations.
This will be applied at the checkout process
Membership type
Single Dentist
Two Dentists
Three Dentists
Quarterly (SAVE 3%)
$
665.00
/Qtly
$685.00
Quarterly (SAVE 11%)
$
1,225.00
/Qtly
$1,380.00
Quarterly (SAVE 20%)
$
1,665.00
/Qtly
$2,080.00
Credit card
I authorise Dental Innovations Pty Ltd to charge my card for the selected and ongoing membership fee
and for agreed specific cost events or services that I may authorise.
/
REGISTER NOW
×
Practice information
State
ACT
NSW
NT
QLD
SA
TAS
VIC
WA
I agree to all
Terms and Conditions
for Dental Innovations Membership, Chatline Confidentiality Agreement, Online Ordering Service and Privacy Act with release content.
Online ordering registration
Please tick if Shipping address and billing address are the same as practice address above.
Please tick if billing address is different from practice address and provide details below.
Billing Address
State
ACT
NSW
NT
QLD
SA
TAS
VIC
WA
Ordering portal access
:
Nominated person overseeing use of online ordering site in the practice. They are able to set budgets, authorise orders where required (optional), run reports and set up users. A temporary username and password will be emailed to your nominated email address.
I request all current suppliers to release 12 months of ordering history to Dental Innovations.
This will be applied at the checkout process
Membership type
Single Dentist
Two Dentists
Three Dentists
Quarterly (SAVE 3%)
$
665.00
/Qtly
$685.00
Quarterly (SAVE 11%)
$
1,225.00
/Qtly
$1,380.00
Quarterly (SAVE 20%)
$
1,665.00
/Qtly
$2,080.00
Credit card
I authorise Dental Innovations Pty Ltd to charge my card for the selected and ongoing membership fee
and for agreed specific cost events or services that I may authorise.
Entity to be invoiced (If different to practice name).
/
REGISTER NOW
×