Note: This letter of participation may be completed only by representatives of E&I member institutions. To determine whether your institution is a member, visit our Member Locator. To join E&I, complete a Membership Application.
My institution, (to include all ordering locations) listed below, wishes to participate in the E&I Contract with Henry Schein - Dental Supplies. As of this date, please code all of my purchases to contract E&I CNR01271.
If you have any questions about this form or the E&I Master Agreement with Henry Schein - Dental, please contact your Member Relations Representative or Mike Costigan by email at email@example.com.
By completing the form below, your Institution is requesting to be enrolled in the program.
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