Vendor Info Update Form - Dental Success Network

DSN Vendor Update Form

Update Your Contacts, Videos, Discounts, and Other Info Below

Company Name*
Previous name of company?*
If none please type "N/A."
Vendor Contact Name*
First Last
Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Each quarter we send ALL of our vendors a sample of DSN's success box. This box is mailed to over 800 members.
Vendor Contact Phone*
Vendor Contact Email*
Description of Vendor Company
Description of DSN Member Discount Offered
Vendor Category
Which software(s) do you integrate with?*
If none, type "N/A"
This discount is exclusive to Dental Success Members only.
- Yes
- No
Vendor Logo
Max. file size: 128 MB.

Upload vendor logo to be used on the site. Please upload the file in png format with minimum width of 500px.
Direct Link to Discount
Please give URL where DSN members can go to learn more about and take advantage of your discount. (preferably a landing page on your website exclusively for DSN members). If you don't have a landing page, add your coupon code.