Payment Terms Inquiry

Dental practices, group practices and DSOs can ask about payment terms for their GoldGreen orders. Tell us a little about your practice and what you need, and our team will review your request and reply with the options available to you.

Questions about terms? Contact our sales team

Email: sales@goldgreendental.com

Phone: 844-337-7759

  • Pay over time at checkout: Affirm financing is available at checkout on eligible orders, subject to Affirm's approval.
  • Free wholesale account: practices can also apply for a free GoldGreen wholesale account.
  • Every request is reviewed individually. Submitting an inquiry does not guarantee approval, specific terms, credit limits or rates.

Payment terms inquiry form

Fields marked * are required; everything else is optional but helps us review faster.

Please note: Do not include Social Security or bank account numbers. If a personal guarantee or additional documents are needed, our team will follow up securely.

1. Contact & practice
2. Business information
3. Licensing
4. Accounts payable
5. Credit details

Requested amounts are reviewed case by case; submitting a request does not set or guarantee a limit.

6. References

List 2–3 suppliers you buy from on account, e.g. other dental suppliers or labs. For the bank, please give contact details only, no account numbers.

Bank reference

Trade reference 1

Trade reference 2

Trade reference 3 (optional)

7. Message
8. Authorization
Submitting this form does not guarantee approval, specific terms, credit limits or rates. Questions? sales@goldgreendental.com · 844-337-7759