Membership in the NDHRA is open to any independent handpiece repair service committed to improving the standards within the industry. Complete and submit the form below to begin the interview process.

Name
Address
Bus. Name
Bus. Address
Bus. Telephone
email: (required)
Year Bus. Started
Currently
Part Time Full Time
Annual Gross Revenues Last Year
Previous Year
Number of Employees
Number of Locations
Previous Dental Background
Prior Technical Background
Where did you receive handpiece repair training?
How satisfactory was your training?
List any additional training you have received
List any dental or trade meetings you participate in:
Bearing preference for most repairs?
Why?
Principal part supplier?
List all handpiece manufacturers for whom you are an authorized dealer:
List manufacturers from whom you use OEM parts:
For what handpiece brands do you provide OEM factory service?
Under what circumstances do you recommend the dentist purchase a new turbine?
Do you sell new OEM turbines or aftermarket?
If you sell aftermarket replacement turbines – what brands do you sell primarily?
What is your high speed repair warranty?
What is your low speed warranty?
Where do you receive information on repairing new handpiece models?
Do you carry liability insurance?
How much?
Approximately how many customers do you service annually?
Number of high speeds repaired weekly?
Number of low speeds repaired weekly?
Do you use an outside repair service for low speeds?
Why do you want to join the NDHRA?
What specialized skills or knowledge do you bring to the association?
   

 
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