* delivery services to your dental office are utilized and payment is your responsibility.  You will be direct billed by Fedex depending on which USA Airbill shipment options you choose. Call 1-800-GoFedex and select * to register for your free Fedex account number now and request Fedex pick-up. We suggest pre-wrapping with paper towels and plastic sandwich bags if neither bubble wrap nor boxing is available. Request Fedex Pak Wrapped part number 154168 for additional protection. These are foam-lined Tyvek envelopes. Have Fedex send case(s) to SportsDDS.com , 88-34 195th Place, Hollis Park Gardens, NY 11423. Telephone is 1-800-616-6399. 

Completion of this application is certification that you are a licensed dentist and that you have read and agree with the terms and conditions specified herein.  Further, you certifiy you can prove your identity as a licensed dentist with picture ID (driver's license, state-issued ID, passport, military ID, or work ID). You authorize use of your credit card by SportsDDS.com to pay for professional services rendered by SportsDDS.com, Federal Express and any other vendor charges necessary to complete fabrication and delivery of an occlusal guard as determined by SportsDDS. com. SportsDDS.com is authorized to alter master model(s) to facilitate fabrication of appliance(s). No P.O. Box numbers will be accepted as a valid street addresses. Completion and submission of this electronic order shall be equivaslent to and constitute a "signed contract." If you prefer you may print out this application, fill in the answers and fax it to 718-465-2771.  SportsDDS.com reserves the right to contact you to verify your order and any information contained herein. SportsDDS.com assumes no liability for affiliate dentists. Submission of this completed application constitutes consent to terms and conditions contained herein.