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Dental Professionals

Become a MayPall Ambassador!

Join a growing community of dental professionals transforming oral health. As a MayPall Dental Ambassador, you’ll introduce patients to MayPall's Mouthwash in your office and earn a referral incentive for every purchase made with your custom code. The referral code will give your patient a 15% discount at checkout, and you will be paid $10 for each purchase made using your unique discount code. Payouts will be made monthly via your preferred method. Please note, sales are only eligible for a discount and referral incentive compensation if they are made through the MayPall website, not Amazon.

All sales are online, so there’s no inventory or order management required on your end. Simply recommend MayPall to your patients, and when they purchase online using your code, you’ll receive a referral incentive for the sale.

If you don’t have a MayPall samples in your office yet, let us know below. We’ll send some your way so your patients can experience it firsthand and you can recommend it with confidence. If you would like an informative meeting about the product please reach out at contact@maypall.com.

We’re excited to partner with you to and collectively improve oral health! If you have any questions, contact us at contact@maypall.com.

First name*

Last name*

Email*

Phone

What Type of Dental Professional*

Dental Hygienist

Dental Assistant

Front Office

General Dentist

Pediatric Dentist

Other

Dental Practice Name*

What Best Describes the Practice*

General Dental Office

Pediatric Dental Office

Biological Dental Office

Geriatric Dental Office

Orthodontic Office

Other

Address*

City*

State*

Zip Code*

Would You Like Free Samples to Distribute to Patients?*

Yes

No

If Yes, Which Flavors

Bubblegum

Watermelon

Mint

Please enter the discount code you’d like your patients to use when purchasing MayPall Mouthwash. This code will give your patients a discount and will be linked to your affiliate account so you receive credit for each referral. (eg., DRTODD or SMILEDENT)*

Would you like a custom business card with your affiliate code?

Yes

No

How Would You Like to Be Compensated?*

Venmo

PayPal

Visa Gift Cards

Enter the email or username linked to your PayPal or Venmo account to receive commission payments for purchases using your discount code. You can enter it now and update it later. Respective commission payments will be made out at the end of each month.

By submitting this form I agree to MayPall Inc. handling my personal information.

Contact info:

Email: contact@maypall.com

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