Your e-mail address is mandatory, and your registration will not be validated if your e-mail address cannot be confirmed. This information is not recorded via e-mail. It will be posted to our Registered Users database directly pending confirmation, which may include contact by site personnel.

Personal Information

First Name

Last Name

Address (1)

Address (2)

City

State

Zip

Country

Home Ph.

Work Ph.

 

 

 

 

Reference

Fax

Enter your e-mail address. Should your e-mail address change in the future, you must update your records.Registered User's Section

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Organizational Information

If you are registering for a wholesale or retail organization, please indicate below. Also, be sure to specify the types of payment you will accept.

 

User Information

Now select your User ID and password. These will be used each time you place a bid in an open auction, or to participate in "Live" auctions (20 chars. Max, case does not matter).

User ID:

Password:

Confirm:

 

Select a method of payment

A billing account will be setup for you using this information, which will automatically be billed for any fees incurred. You will receive a monthly statement reflecting any charges.

Your credit card will not be charged as registration is free on dentalauction.com and will never be charged without your explicit permission. If you are the seller, your credit card will not be charged for our 10% commission fee until May 1, 2006. Dentalauction.com auctions are free for bidders. You won't be charged a fee for bidding or for winning an auction. The credit card verification is one step that dentalauction.com takes to help ensure a safe environment for auctions participants. All bidders and sellers are required to provide a credit card to verify their identity before they can place bids or submit items on dentalauction.com Auctions. Your credit card information is private and secure. Dentalauction.com takes your privacy concerns seriously.

Payment Method:

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Exp. Date (mm/yy):

Billing Address: Please enter the billing address as it appears on the statement of the payment method selected above.

Bill To:

Address (1):

Address (2):

City:

State (Abbrev):

Zip:

Country:

Phone:

I agree that by submitting this registration and using the site and its services that: a) the information provided by me is complete and accurate to the best of my knowledge, and that b) purposefully providing false information in order to wrongly participate in an auction could be considered criminal activity, and c) should the situation arise, The Webmaster is authorized to release relevant information to involved parties for settlement of dispute. I also understand and agree that by registering I am stating that I will participate in auctions according to the rules and regulations set forth by this site.

I also acknowledge that I have read, understand and accept the "General info. and User Agreement" page and I accept and agree to all the terms and rules set and mentioned there.

Please verify the above information is correct before submitting!

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