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Become a Vendor

See If You Qualify for ELITE Enterprise

Step 1 of 8

12%

What is the name of your practice or organization?(Required)

What is your practice’s website?(Required)

What are your practice’s specialties?(Required)

General Dentistry

Orthodontics

Endodontics

Oral Surgery

Periodontics

Other

How many practices do you operate?(Required)

2-6

7-20

21-50

50+

What is your estimated annual spend on consumables across all vendors?(Required)

Under 150K

150-300K

301-600K

Over 600K

Upload your last 12 months of consumables invoices. (optional)

Drop files here or

Accepted file types: pdf, xlsx, png, jpg, Max. file size: 20 MB, Max. files: 12.

Who is your primary distributor?(Required)

Primary distributor

Do you have a current or past Benco account? If so, please share your customer number (optional).(Required)

Yes

I’ve never had a Benco Account

Benco account number

What Procurement Software do you use?(Required)

How can we contact you?

Name(Required)

First Last

Title

Email(Required)

Phone(Required)

What is your preferred contact method?(Required)

Phone

How did you hear about ELITE Enterprise?

Recommendation

Sales Rep

Other

How did you?

Consent(Required)

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