Open an account

paid stamp image Benefits of having a credit account with Gunz Dental include:

Faster processing of your order
30 days credit
No need to provide delivery details and credit card information every time you place an order
Personalised access to our online catalogue and store (coming soon!)

Applying for your Gunz Dental account is fast and easy - simply complete the online form (below), read and agree to the terms and conditions, and submit. Once we have received your account application, we will endeavour to confirm your new account details within 2 working days.

Alternatively, you can download an account application form here, which you will need to print and return to us via post or fax.

All information offered will be treated in the strictest of confidence.

Eligible Gunz Dental account holders can also nominate one person, either yourself or another eligible individual from your practice^#, to earn Qantas Frequent Flyer points.

The nominated points earner will be credited with 1 Qantas Frequent Flyer point per $1* spent on your Gunz Dental account on selected dental supplies, equipment and services from Gunz Dental. Click here for full details and an application form for the Gunz Dental Rewards Program.

File attachments:

CreditApplicationForm2012.pdf

Applicant Details

Registered Business Name: *

(sole trader's name or partnership name)

Trading Name: *

Owner’s Name: *

Name of Proprietor(s): *

Gunz Representative:

Delivery Address

Building: *

St/Suite: *

City: *

State: *

Postcode: *

Postal Address (If different from delivery)

Select as Above

Building: *

St/Suite: *

City: *

State: *

Postcode: *

Contact Details

Phone: *

Fax:

Mobile Number:

Email: *

Business Details

How long has the business been established?: *

How long have the current proprietors owned the business?: *

Please identify the activity of your business: *

Dentist

Dental Specialist

Laboratory

Laboratory Specialist

Other

Professional Registration Number: *

State of Registration: *

ABN: *

Trade Reference Details

Please give the names and phone numbers of three suppliers for trade reference purposes:

Reference 1: *

Phone number

Name

Reference 2: *

Phone number

Name

Reference 3: *

Phone number

Name

Terms and Conditions

Please read the Terms & Conditions.

I have read and agree to abide by the Terms and Conditions above including payment terms of strictly 30 days

Would you like to receive email from Gunz Dental, including information about new products and special promotions?

Yes, I would like to receive promotional emails – including product specials and trial offers, from Gunz Dental.

No thanks, I do not want to receive promotional email updates from Gunz Dental.