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Dear WEBLink Customer,

Please fill out this form to request a FREE one month trial of Consult-PRO WEBLink. Once you have filled out and sent this form in to us, we will create an ID, Username and Password  for you and send it to you, along with the small WEBLink Tool download via the email you have provided. With that information you will be able to create the Consult-PRO WEBLink that suits your practice. Customize your movie selection, categories, avatar host and personal information with just a few simple clicks. Paste the link on your website and have a tool that educates your patients from their homes and brings them into your office.

At any time during the FREE one month trial, you can click on the Order button within WEBLink, fill out the payment information and continue providing your patients with the dental education they want and deserve.

 STEP 01 - REGISTRATION
 STEP 02 - EMAIL VALIDATION
 STEP 03 - DOWNLOAD AND INSTALL ADMINISTRATION TOOL
STEP 01 - REGISTRATION
Salutation:
First name:
Last name:
Address:
Address:
Unit / Suite #:
City:
State/Province:
Zip / Postal code:
Country:
Office #:
Fax #:
NOTE: Your trial account will be activated after you have
recieved an automated email, and you confirm your email address.
Email:
Confirm Email:
Your WebLink is a 30 day free trial
You will not be charged for your first Month.
If you decide not to keep your services you can cancel anytime.
*** We require a credit card on file to process your monthly charge after the 30 days.
You will be charged $80 USD / Month if you decide to keep WebLink after the trial period.
You can cancel anytime by sending an email.

NOTE: If you are currently a Chairside Education customer, you will be charged $50 USD / Month for weblink
after your 30 day trial period.
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