A minimum of $25 for US orders and $250 for international orders is required.
Please make sure that your telephone number and e-mail address are both correct. We may need to contact you to confirm the information provided in this application.
Pearson Dental Supply is not responsible for problems resulting from the following: An incomplete application will result in delaying the opening of your account and pending orders from being processed. Additional information may be required. Incorrect address information will result in non-delivery of your orders and additional charges can be billed to your account.
All fields with * are required.
Please Note: We will not ship to P.O. Boxes and PMB (Private Mail Boxes), Hotels/Motels.
Please be sure to provide the correct shipping address. Any charges or loss incurred in the process of re-routing or making an address correction will be the responsibility of the customer.
Type of business
Your account will not be established as a Corporate Account unless we receive your completed Corporate Application, Agreement and Guaranty.
Preferred method of payment
Credit card and wire transfer are the only options. Please select one of the two.