Invisalign Grad Pack Registration

CONGRATULATIONS ON YOUR GRADUATION! AS PART OF THE INVISALIGN GRAD PACK, YOU ARE ELIGIBLE TO RECEIVE YOUR FIRST THREE (3)  INVISALIGN FULL CASES AT A REDUCED RATE OF $990 PER CASE. OFFER IS ONLY VALID IF YOU SUBMIT AND ACCEPT THE CLINCHECK TREATMENT PLANS ON YOUR INVISALIGN DOCTOR SITE WITHIN NINETY (90) DAYS OF ACCOUNT ACTIVATION. THEREFORE, WE RECOMMEND ACTIVATING YOUR INVISALIGN ACCOUNT AFTER YOU HAVE AT LEAST ONE PATIENT READY FOR TREATMENT. ALL REGISTRATIONS ARE SUBJECT TO VERIFICATION OF ELIGIBILITY.
* = Required

First Name *

Last Name *

Email *

Residency *


If Other, please enter program name

Which specialty
(if applicable)?










   If Other, please enter specialty
   

Graduation Date *

 / 

License Number *

State/Region *

Invisalign Training Date *

Location *

Primary Practice

Start Date *
Office Name *
Address *
City *
State *
Zip *
Website
Phone *
Fax

Secondary Practice

Start Date
Office Name
Address
City
State
Zip
Website
Phone
Fax
Eligibility: This offer applies only to recent graduates from accredited dental specialty residency programs in North America where Invisalign training has been integrated into the teaching curriculum.

Your Invisalign Doctor Site account username and password and promotional information will be sent to the email address provided. You will receive an Invisalign Newly Certified Kit within a few weeks at the primary practice address provided. Account set-up will take 7 to 10 business days from the time that you submit this form.
I agree to the Terms of Use.


LEGAL TERMS & CONDITIONS

  1. Any participating doctor who is not in good standing with Align Technology, Inc. is ineligible for this promotion.
  2. Treatment submissions and related forms must be completed on-line, using the Invisalign Doctor Site (IDS).
  3. Align Technology, Inc. reserves the right to modify or terminate this promotion at any time.
  4. Only practices in North America are eligible.
  5. Offer cannot be combined with any other Align offer or promotional program.
  6. Void where prohibited.