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1300 657 395 [7am-7pm, Mon-Fri]

Become a Member

A simple online application can be completed in minutes.

Become a Member

1. Join by Online Application
2. Join by Telephone
3. Join by Mail
4. Join by Fax
5. Join by Direct Deposit via Internet Banking
6. Upgrade to Couple/Family Membership Application
7. Membership Renewal Application

* A membership card is posted to you the same day we receive your application and payment.

** An appointment can be made once you receive your membership card.

*** If you need to attend a participating dentist urgently, then Click Here.

**** Membership for 24 months for an individual is a total of $99.95 or $149.95 for couples and families.

1. Join by Online Application

We accept Visa, MasterCard, or payment from PayPal accounts.

Step 1: Select the Type of Membership

Individual	$99.95
Couple/Family (includes partner and dependent children at a single address)	$149.95

Step 2: Complete Your Personal Details

First name
Last name
Date of birth (Day/Month/Year)	/ /
Gender	Male Female
Mailing address
Street
Suburb
State	ACT NSW NT QLD SA TAS VIC WA
Post code
Telephone
Mobile
Email (NB. Important)
Member password
Confirm member password
Do you have dental insurance?	Yes No

Please enter family member's details:
Partner first name
Partner last name
Date of birth (Day/Month/Year)	/ /
Child first name
Child last name
Date of birth (Day/Month/Year)	/ /
Child first name
Child last name
Date of birth (Day/Month/Year)	/ /
Child first name
Child last name
Date of birth (Day/Month/Year)	/ /
Child first name
Child last name
Date of birth (Day/Month/Year)	/ /
Child first name
Child last name
Date of birth (Day/Month/Year)	/ /
Child first name
Child last name
Date of birth (Day/Month/Year)	/ /
Child first name
Child last name
Date of birth (Day/Month/Year)	/ /

Step 3: How did you hear about NobleDentist?

Dentist Dental Staff Google Other Search Engine Magazine Member Referral Newspaper Pamphlet Poster Radio Television White Pages Word-of-Mouth Yellow Pages Book Yellow Pages Online Other

Please enter member's details:

Member first name
Member last name

Step 4: Terms and conditions

I agree with the terms and conditions

Step 5: Secure Transaction

You can pay with Visa, MasterCard, or from a PayPal account. Simply complete all required details correctly.

2. Join by Telephone

We accept Visa or MasterCard.

Step 1

Have your Visa or MasterCard on hand.

Step 2

Call 1300 657 395 between Monday to Friday from 10am to 6pm (Brisbane Time).

3. Join by Mail

We accept Cheque, Money Order, Visa, or MasterCard.

Step 1

Download, print, and complete by clicking on Application.

Step 2

Post to NobleDentist, PO Box 2088, Tingalpa QLD 4173.

4. Join by Fax

We accept Visa or MasterCard.

Step 1

Download, print, and complete by clicking on Application.

Step 2

Fax completed application to 07 3319 0965.

5. Join by Direct Deposit via Internet Banking

Step 1

Transfer funds to pay for membership fee ($99.95 or $149.95).

Description of Transfer:	Your Telephone (e.g. 0739883452)
BSB:	084 130
Account Number:	597 888 187
Account Name:	NobleDentist Pty Ltd

Step 2

Post or fax to NobleDentist a completed Application.

6. Upgrade to Couple/Family Membership Application

We accept Cheque, Money Order, Visa, or MasterCard.

Step 1

Download, print, and complete by clicking on Upgrade to Couple/Family Membership Application.

Step 2

Fax to 07 3319 0965 or post to NobleDentist, PO Box 2088, Tingalpa QLD 4173.

7. Membership Renewal Application

We accept Cheque, Money Order, Visa, or MasterCard.

Step 1

Download, print, and complete by clicking on Membership Renewal Application.

Step 2

Fax to 07 3319 0965 or post to NobleDentist, PO Box 2088, Tingalpa QLD 4173.