Email Registration Tool

Register for Online Ordering

Welcome Michigan Dental Association member! Please complete the information below to be registered on the MDA StaplesAdvantage.com account for online ordering. Benefits to ordering online with StaplesAdvantage.com include: personal reusable shopping lists, easy online returns, advanced search feature, ink and toner finder, package tracking, special orders, print, promo, custom stamps online, live MDA pricing, detailed product information including real-time inventory and expected delivery dates on over 80,000 items and much more! Staples Account #1025628DET ($50 minimum order, place orders by major credit card)

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Fields marked with an * are required.

* Practice Name:

* First Name:

* Last Name:

* Address (1):

Suite or Floor:

* City:

* State:

* Zip Code:

* Phone:

- - X

Fax:

- - X

* Email:

* Register Credit Card:
To receive your MDA discount at any Staples Store

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