45 Day Free Trial (Operations Manual) - Dental Success Network

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Please provide the best cell number to receive the most up-to-date news and announcements. We will never spam you or share your info with anyone.
Do you reside in the United States?*
- Yes, I reside in the U.S.
- No, I reside outside the U.S.
Address*
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Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
When would be a good time to contact you?*
Clinic Name*
Simply part of the vetting process (even if not an owner, we want to learn about where you work)
How many clinics are you an owner in, if any?*
If an Associate, enter 0.
Dental License Number*
AGD Number*
Are you a member of the AGD? If so, please provide AGD number for online CE submission.
GST/HST Number
If your practice is registered for GST/HST with the Canada Revenue Agency, please enter your GST/HST number. Leave blank if not applicable.
How many clinics are you an owner in, if any?*
If associate, enter 0
Annual Revenue*
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DSN Members and faculty openly share information because this is a place of empowerment. Privacy is respected and valued.*
As part of this community, you will gain access to clinical and business secrets & battle-tested insights of industry leading experts. Do you agree to keep this information confidential?*
- Yes
- No
DSN members check our egos at the door. We share our challenges openly and humbly so as to shortcut the feedback process and get the answers we need. Same team: dentists! Watch what WE can build.*
Do you agree to contribute to the community by sharing your challenges and successes so we can all learn from each other?
- Yes
- No
Our intentions are pure...We accept ZERO vendor kickbacks! All the savings go to you (avg. 10-55%). This is unprecedented and vendors are shocked to hear this.*
If you are accepted, you enter a 7-Day vetting period, to ensure fit. After this vetting period you will have access to BIG discounts, to our trusted vendors, to our CE, and to a few other surprises. Can we trust you to not share your access to these benefits with non-members?*
- Yes
- No
DSN provides our partners with a list of our members and contact information so you don’t miss a beat in savings with suppliers you may already be using!*
We understand and value our member's privacy. If sharing your office information with our partners is something you would like to opt-out of, we get it! Simply click "Do not share my information".
- Yes, share my information with DSN vendors
- No, do not share my information with DSN vendors
What part of the Dental Success Network are you most interested in?*
- Savings & Vendor Discounts
- Team Training
- Continued Education
- Startup & Acquisition
- Growing My Practice
What three challenges can we help you solve?*
*Please Select Three
- Systemization Implementation
- Team Culture
- Become a Better Leader
- Understanding Cash Flow
- Inventory & Overhead Control
- Understanding My Business
Were you referred to DSN by an existing member?*
Enter first and last name of the referring member*
DSN Membership
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CANCELLATION POLICY: Members can cancel at ANYTIME. All cancellation requests must be submitted through the “Contact Us” form located anywhere on the site. All cancellation requests submitted 24 hours prior to invoice due date will be charged. However, Dental Success Network will refund the total invoice amount. Any cancellation request submitted over the weekend will be reviewed and processed the next business day. For questions regarding DSNs cancellation policy please contact [email protected]

REFUND POLICY: All refunds are processed at DSN discretion excluding members who request to cancel membership within 24 hours of invoice due date. Members who have requested to cancel their membership within 24 hours of the invoice due date can expect a full refund. Refunds will not be processed to non-usage of the network.
For questions regarding DSN's cancellation policy please contact [email protected]
I agree to the Cancellation/Refund Policy.
Finally, you understand that, if accepted, there is a monthly membership fee of $199 per month once your 30 day free trial expires*
This is a NO CONTRACT, CANCEL ANYTIME approach because we want you in Position #1...finally. Why pay? Communities that pay, pay attention. This ensure we have a high-quality group of Members and that we can pay our EXPERTS and the most influential people in dentistry paid to pay attention to YOU!
- Yes
It looks like you answered NO to one of our Core Value Questions and that Dental Success Network might not be the right fit for you. If you feel you have received this message in error please go back and re-submit your application.
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