SmileRewards Enrollment - US Dental Depot

Thank you for enrolling in our SMILE REWARDS program! We are thrilled to have the opportunity to demonstrate the value we can bring to your organization.

Please provide the information requested below so that we can tailor the program to meet your specific needs. Once you complete the application and place your first order of $250 or more, your program will be automatically activated, and you will begin earning points immediately.

At the end of the form, you will have the option to schedule an appointment with Amanda Mauzy, our CEO. Amanda would love to personally welcome you to the program, learn more about your needs, and discuss how we can optimize the program to ensure you see beneficial results.

Full Name*

Business Type*

Email*

Address*

City name*

Country *

State/Province *

Zip code

Phone number

How many branches?

Gross Monthly Dental Expenses

I agree to receive other communications from US Dental Depot regarding my account.

I have read and acept the Terms & Conditions *

US Dental Depot is committed to protecting your privacy, and we'll only use your information to provide the products and services you requested from us. Click here to review full terms and conditions.

You can unsubscribe from these communications at any time. For more information on how to unsubscribe, our privacy practices, and how we are committed to protecting and respecting your privacy, please review our Privacy Policy.

Welcome to the all new customer loyalty rewards program