Premier Vendor Application - Dental Success Network

DSN Vendor Application

Submit Your Exclusive Vendor Discount

Company Name*

Vendor Contact Name*

First Last

Vendor Contact Phone*

Vendor Contact Email*

Mailing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Description of Vendor Company*

Description of DSN Member Discount Offered*

Vendor Category*

Which software(s) do you integrate with? If none please type "N/A."*

Do you provide products / services internationally?*

Yes

Including North American countries such as Canada and Mexico

This discount is exclusive to Dental Success Members only.*

Yes

Upload Sign Copy of the Vendor Honor Code*

Max. file size: 128 MB.

In your email, you should have received a PDF copy of the Vendor Honor Code. Please email Vendors@dentalsuccessnetwork.com if you do not have this document.

Vendor Logo*

Max. file size: 128 MB.

Upload vendor logo to be used on the site. Please upload the file in png format with minimum width of 500px.

Introduction Video
We recommend either a demo or slide presentation format and 10 minutes max. Please see Vendor Announcement Video Guidelines PDF for more details. We find videos that have following points are more well received:

– Who Are We?
Begin the video by introducing yourself and the company. Within the introduction, it’s important to describe the organization’s history, mission, and vision.

– Product Description.
Give a detailed description of your product or service. How can your product or service improve a member’s dental practice?

– DSN Offer
Give a detailed description of the DSN discount or offer and how to purchase or sign up for your service.

Introduction Video

Max. file size: 128 MB.

Please upload 1 minute vendor introduction video telling a little bit about yourself and what discount you’re offering.

Direct Link to Discount*

Please give URL where DSN members can go to learn more about and take advantage of your discount. (preferably a landing page on your website exclusively for DSN members). If you don’t have a landing page, add your coupon code.

DSN Vendor Application

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