Purchasing Agreement: Esprigas

EspriGas is an industry leader in customer satisfaction scores. Their automated deliveries ensure consistent gas supply. With 25+ Years of experience and 4,000+ trusted gas supply partners across the nation, EspriGas has your satisfaction in mind with a 98% customer retention rate. EspriGas identifies surplus spending for our customers, and right-sizes each location with adequate inventory.

How to Purchase: To qualify for discount, orders must be placed directly with EspriGas. Contact information for your EspriGas rep are emailed to you once your Agreement has been processed and your EspriGas online registration has been completed. Your Co-Op Area Director has this information and is available on Member Services.

>>IMPORTANT! Once your Purchasing Agreement has been submitted, you will immediately receive an email with the next step to register at EspriGas. The registration link is included in the email and can also be found here.

Discounts and Terms: All Cooperative Members receive a Pre-Set Cylinder Pricing based on gas type and cylinder size. Rent is per cylinder/per month. Purchase equipment does NOT include shipping. Current discount pricing and offers are available on Member Services.

PRACTICE INFORMATION:
Practice Name (required)

Name of Primary Dentist (required)

Name of Employee Ordering Supplies (required)

Email of Employee Ordering Supplies (required)

State (required)

Do you currently purchase with Esprigas? (required)

Instructions for the Cooperative: (optional)

TERMS AND CONDITIONS OF PARTICIPATION
To qualify for the Dental Cooperative negotiated volume discount pricing with our vendor partner, participants must meet the following criteria:
• Participants must be a current member of the Dental Cooperative in good standing.
• All associated items subject to discount must be purchased through the identified sales channels as specific above.
• Discount pricing structure begins only after agreement has been received and processed by the Dental Cooperative and vendor partner.
• Upon termination from the Dental Cooperative, Member will no longer have access to discount pricing defined in the terms.
• Signing this document permits Esprigas to transition your current account to the Dental Cooperative group account.
• Additional program details and terms are available on Member Services.
I agree to the Terms and Condition of Participation in this Agreement.

Name of Authorized Agent (required)

Date Agreement Signed MM/DD/YYYY (required)

Once submitted, the Agreement will be sent to our the associated vendor partner for a rep assignment and flagging in their system. Confirmation will be emailed to you when your vendor rep has been assigned.

IMPORTANT! Once submitted, you will immediately receive an email to the address you indicated on this form. This email contains important information for the next step to register at EspriGas. Soon after, you will also receive confirmation emails from the Cooperative for enrollment and your assigned vendor rep with their contact information.

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Purchasing Agreement: Esprigas

Purchasing Agreement: Esprigas