Sedation Resource Keeping Sedation Simple 1-800-753-6376

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Welcome to our online catalog!

Please provide the information below to enjoy the convenience of easy online ordering. The information you provide is private and used only by Sedation Resource, Inc.

Be sure to COMMENT if you are a member of a professional organization, i.e, ADSA, AAPD, AAOMS, etc. to receive your preferred pricing.

Customer Information - Required

username: password: verify password: email:

Billing Information - Required

first name: last name: practice name:address line 1: address line 2: city: state (US/Canada): other (international): zip code: country: phone: fax: COMMENT/professional organization:

Shipping Information - Required if different from Billing Information

Check here if same as billing: first name: last name: address line 1: address line 2: city: state (US/Canada): other (international): zip code: country: phone: fax: comment:

Please fill out all fields and submit this form for approval.

Once you have completed the registration form, your membership will be pending while we review the information you have provided to us. All approved members receive notification of approval within 1-2 business days (usually only a couple of hours). If you have a question about your membership status, please email us info@sedationresource.com or call 1-800-753-6376.

Upon approval, Sedation Resource, Inc. will send a confirmation email. Then you will be able to browse the online store and make purchases. If you prefer not to order online, our staff is ready to assist you on Monday - Friday from 8am-5pm(CST) with orders, questions, and product information. Please call us at 1-800-753-6376 and remember.....we're here to help!

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