Start 0% Details 0% Confirmation 0% Next Steps 0% Sign Up 1Start2Details3Confirmation Before you apply online, things you need to have: You must have an ABN You must have an AHPRA number What happens after applying online? You will receive an email acknowledging your application has been received. If we have all the information we need, and your details have been verified your account will be opened straight away. You will be sent a welcome pack in the mail. Before proceeding please read the terms and conditions and privacy statement. Terms and Conditions Privacy Policy * By clicking this I agree that I have read and understood the terms and conditions and the privacy statement. I have the authority to open an account. CAPTCHA Personal DetailsFull Legal Name* AHPRA NO. DEN* Account DetailsABN* Business Trading Name* Principal Dentist* Contact Name* Position* Surgery Address* Postal Address Suburb State Postcode Billing address* Address Suburb State Postcode Surgery Phone*Fax Mobile Primary Email* Website Secondary Email Have you had an account with Andent before? No Yes If yes, what was your account number? Does anyone at the surgery currently have an account? No Yes If yes, what is their account number ? Do you belong to a corporate group? No Yes If yes, please specify Add Promo Code? Add Promo Code? Promo code Marketing Subscription Rewards Program I do not wish to receive marketing & promotional material from Andent Digital Cash Rebate* rewards program. I agree to the terms and conditions