Register Here for an Apple Ipad! Increase your business with us by $7,500 incremental net revenue and receive an Apple iPad. Sign up must be by August 31, 2010 and revenue increase must be by November 30, 2010. How It Works New Customers: Send in $7,500 in net revenue between August 2, 2010 and November 30, 2010. Existing MicroDental Customers: Send in $7,500 in net revenue of incremental business to current average monthly business from August 2, 2010 through November 30, 2010. QUALIFYING DETAILS • All participants must register for this promotion. Confirmation of registration will be sent no later than 5 business days after receipt. If you have not received confirmation of registration within this timeframe, please email info@microdental.com. Include your name and contact information. • Deadline to register is August 31, 2010. • New customers qualify by sending cases that achieve net revenue for MicroDental of at least $7,500 between August 2, 2010 and November 30, 2010. • Current customers qualify by achieving average monthly net revenue in August, September, October and November of 2010 that is at least equal to the average monthly net revenue sent to MicroDental between February 1, 2010 through July 31, 2010. And, in addition to achieving average monthly net revenue as stated above, also sending to MicroDental (between August 2, 2010 and November 30, 2010) an additional $7,500 in net revenue. • While we expect to deliver iPads in December 2010, actual delivery dates are subject to supplier's availability. In the event availability from supplier is limited, qualified customers may be given the option of receiving a gift card to the Apple Store in an amount equal to the cost of a 16GB iPad (non 3G) in lieu of waiting for delivery. • Participants must be in good financial standing with MicroDental to qualify and receive award. • Participants must register their iPad directly though Apple (MicroDental is unable to offer technical support for the iPad). • Please contact your MicroDental Lab Representative for further details. • One per customer. • Apple and iPad are registered trademarks of Apple, Inc. Apple, Inc. is neither a participant in, nor a sponsor of, this promotion. Register Below Please note that required information is indicated by the blue asterisk "*" Name* Practice Name Email* Street Address* City* State and Zip* Phone* Fax Do you currently have an account with MicroDental?* Please Select Yes No If yes, please insert your current account number: Please select your lab representative* Please Select Ann Ticzon April Martini Kelly Crawford Leonard Telesca Linda Montenegro Lisa Massoni Paula Weaver Robert Booth Scott Dodek Steven Sidmore Suzanne Warrington Vickie Reisman Vivian Reiser Please select preferred fulfillment* Please Select Apple iPad Apple Gift Card I have read and agree to the above qualifying details of this offer *