Please click on the appropriate icon for your professional status to begin

the Natures TipTM registration process.

Dental Professional

Affiliate

Technician Affiliate

Distributor

Distributor Rep

Register as

Dental Professional

As a registered Dental professional you will be able to purchase Natures TipTM, track your ordering history, and receive free air/water syringe support.

* Indicates required fields

Office information
*
Shipping Address (Only if different from mailing address)
Office information
*
*
*
Primary Distributor
Secondary Distributor
Does your office offer teeth whitening?
 Yes     No
Please Check the appropriate specialties your office practices
General Dentistry
Dental Cosmetics
Periodontal
Endodontics
Oral Surgery
Orthodontics
Pedodontics
Dental Implants
How did you hear about Natures TipTM?
Have You Purchased NATURES TipTM before?
 Yes     No
Please create your log in credentials
Type your password
Retype your password
Privacy Policy

We recommend your password be at least 5 characters. It should be different from your username. Your email address must be valid. We use email for communication purposes (order notifications, etc.). Therefore, it is essential to provide a valid email address to be able to use our services correctly. All your private data is confidential. We will never sell, exchange or market it in any way. For further information on responsibilities of both parties, please refer to our "Terms & Conditions".

Register as

Affiliate

As an affiliate, or independent representative of Dental products, you are a valuable asset for us and we will reward you with outstanding commissions and incentives when you become a Natures TipTM affiliate rep. Please fill out the form below.

* Indicates required fields

Personal information
*
Primary Contact
Secondary Contact
Territory you cover
*
Distributors/Dealers You Currently Work Directly With
List Top 5 Dental Products you Represent
Do you currently represent a disposable syringe tip?
 Yes     No
Privacy Policy

Your email address must be valid. We use email for communication purposes only. Therefore, it is essential to provide a valid email address to be able to receive communications from us. All your private data is confidential. We will never sell, exchange or market it in any way. For further information on responsibilities of both parties, please refer to our "Terms & Conditions".

Register as

Technician Affiliate

Thank you for registering with us. As a technician affiliate you are a valuable asset for us and we will reward you with outstanding commissions and incentives when you become a Natures TipTM Affiliate Rep. Please fill out the form below:

* Indicates required fields

Personal information
*
Shipping Address (Only if different from mailing address)
Primary Contact
Territory you cover
*
Distributors/Dealers You Currently Work Directly With
List Top 5 Dental Products you Represent
Do you currently represent a disposable syringe tip?
 Yes     No
Do you currently work with any dental chair manufacturers?
 Yes     No
Have you ever previously represented a disposable syringe tip?
 Yes     No
How did you hear about natures tip?
Privacy Policy

Your email address must be valid. We use email for communication purposes only. Therefore, it is essential to provide a valid email address to be able to receive communications from us. All your private data is confidential. We will never sell, exchange or market it in any way. For further information on responsibilities of both parties, please refer to our "Terms & Conditions".

Register as

Distributor

Thank you for registering with us. To become an authorized Natures TipTM Distributor, please fill out the form below.

* Indicates required fields

Company
*
Shipping Address (Only if different from mailing address)
Contact Information
Primary Contact
Secondary Contact
Marketing Department Contact
Accounting Department Contact
Company Information
WHAT TERRITORY DOES YOUR COMPANY COVER?
 USA
 FOREIGN
PLEASE LIST LOCATION OF DISTRIBUTION CENTER(S)
 USA
 FOREIGN
I am a National Distributor
 Yes     No
I am a Regional Distributor/Dealer
 Yes     No
NUMBER OF SALES REPRESENTATIVES THAT WORK FOR YOUR COMPANY
PLEASE LIST TOP 3 DISPOSABLE AIR/WATER TIPS YOU CURRENTLY SELL
Privacy Policy

Your email address must be valid. We use email for communication purposes only. Therefore, it is essential to provide a valid email address to be able to receive communications from us. All your private data is confidential. We will never sell, exchange or market it in any way. For further information on responsibilities of both parties, please refer to our "Terms & Conditions".

Register as

Distributor Rep

Thank you for registering with us. To apply to become an authorized Natures TipTM Distributor rep, please fill out the form below.

* Indicates required fields

Personal Information
*
Shipping Address (Only if different from mailing address)
Primary Contact
Territory you cover
*
List Top 5 Dental Products you Represent
Privacy Policy

Your email address must be valid. We use email for communication purposes only. Therefore, it is essential to provide a valid email address to be able to receive communications from us. All your private data is confidential. We will never sell, exchange or market it in any way. For further information on responsibilities of both parties, please refer to our "Terms & Conditions". 

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