iMPRESSIVE DENTAL STUDIO, INC.

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Practice Registration Form
We offer 3 levels of participation to all dentists.

Basic Listing:
  1. AmericaSmiles.com
    • One Entry (General Dentistry)
    • Name & Phone Number Only
    • No hyper link
  2. State Directory
    • Name & Phone Number Only
    • No hyper link
  3. Local Directory
    • Name & Phone Only
    • No Hyper Link
    • No Specialist Banner Available

Profile Display Listing:
  1. AmericaSmiles.com
    • All Available Entries (general, cosmetic, zip code search, etc)
    • Link to a full profile
  2. State Directory
    • Includes hyper link to full profile
  3. Local Directory
    • Includes hyper link to full profile
    • Specialist banner made available

ACDLA Affiliate Member:

  1. AmericaSmile.Com full profile display listing
  2. Full participation in Cosmetic Dental Grant Program
  3. Full participation in Community Networking Program
  4. Full activation of MyDentalTour.Com
  5. Activation of Patient Satisfaction Survey
  6. Full Participation in "Keep Your Smile White For Life" Program
  7. 14% Supply Savings through our affiliate supply distributors
  8. Savings through our network of Nationwide CE Courses
  9. Monthly Newsletter to help make the most out of your Affiliate Membership
  10. Unlimited phone support to help you make the most out of your Affiliate Membership
  11. Dental Practice Manual to help you make the most out of your Affiliate Membership

Membership Fees

Basic Listing....................................................... FREE
Profile Display Listing......................................... $25/month
ACDLA Affiliate Member.................................... $495 One-Time Activation Fee, than $95/month (First month is already included in Activation Fee)

Profile Display Listing Fee will be waived for clients of Impressive Dental Studio when monthly billing exceeds $300.
ACDLA Affiliate Member Fee will be waived for clients of Impressive Dental Studio when monthly billing exceeds $1200.

Special Offer: $495 Activation Fee is waived


Restriction: This offer applies to new customers only. Offer expires 04/30/2010

Marketing Registration Form
Full Name: *
Practice Name: *
Practice Address: *
City: *
State, Zip Code: *
Phone Number: *
Fax Number:
Email Address: *
Website URL:
Dentist License: *
  Basic Listing
  Profile Display Listing
  ACDLA Affiliate Member
  Send me Special Discount Offers
Security Code: *  


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