Become a DENTSPLY Alliance member today
There are two simple ways for you to become a member of DENTSPLY Alliance.

Application Forms
Please return the ADA
Platinum Credit Card application and/or the ADA Platinum
Business Credit Card application to the
American Express Business Card Team: American Express
House, 12 Shelley Street, Sydney NSW 2000.
Simply complete and return your DENTSPLY Alliance
application to DENTSPLY, or alternatively give your
Alliance application form
to your DENTSPLY Sales Professional. For further
information please contact DENTSPLY on 1300 55 29
29.
The Alliance enrolment
form
The ADA Platinum Credit Cardmember
form
The ADA Platinum Business Credit
Cardmember form
DENTSPLY Automatic Deduction Account Payment Option
Great news you now have the option to pay your DENTSPLY account automatically using your American Express Credit Card.
Simply complete the application form below and fax ((03) 9538 8250) or post it (PO Box 1111, Mt Waverley VIC 3149) to DENTSPLY.
Automatic Deduction Payment application form
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