Sign up for membership

Fill out the from below with the details of your clinic and the members of your clinic you wish to connect to the membership. Every member of the clinic you have listed in the form below will receive an e-mail with a link to personalize their password for their personal account.

The membership fee is 1.500 DKK per year and includes all members of your clinic. We will sent you an invoice for the membership fee by the invoice e-mail you have listed in the form below.

Membership you wish to sign up for

Select the membership plan you wish to sign up for

DentaNet membership / 1500 DKK yearly (unlimited access sitewide, course discounts and partnership deals)

Clinic information

Clinic name

Clinic telephone number

EAN number

Clinic contact e-mail

Clinic invoice e-mail

Clinic type (private, state driven, etc.)

Referred by DentaNet Member - Name and Clinic

Street name

City

Postal code

Membership information of your clinic colleagues

Name - Dentist 1

Name - Dentist 2

Name - Dentist 3

Name - Dentist 4

Name - Dentist 5

E-mail - Dentist 1

E-mail - Dentist 2

E-mail - Dentist 3

E-mail - Dentist 4

E-mail - Dentist 5

Name - Hygienist 1

Name - Hygienist 2

Name - Hygienist 3

E-mail - Hygienist 1

E-mail - Hygienist 2

E-mail - Hygienist 3

Name - Assistant 1

Name - Assistant 2

Name - Assistant 3

E-mail - Assistant 1

E-mail - Assistant 2

E-mail - Assistant 3

Extra information to your membership signup

Thanks for submitting your clinic information!

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