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Welcome to Maxifore Beta - Online Dental Grafting Solutions

Before proceeding with your registration, please note that this website currently only supports upfront payments via Stripe using a credit card. If you do wish to set up a credit facility and payment terms with Samson Medical, please register for an account on our current B2B portal below:

Visit Samson B2B Portal

Maxifore B2B is currently under development and will be available to the public soon.

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Facility Contact Information

First Name *

Last Name *

Email address *

Phone Number *

Facility Address

Clinic Name *

ABN/NZBN Number *

Address Line 1 *

Address Line 2

City/Suburb *

State/Region *

Country *

Postcode / ZIP *

Billing Address

Use facility address for billing * Yes No

Address Line 1 *

Address Line 2

City *

State/Region *

Country *

Postcode / ZIP *

Delivery Address

Use facility address for delivery * Yes No

Address Line 1 *

Address Line 2

City *

State/Region *

Country *

Postcode / ZIP *

Your personal data will be used to support your experience throughout this website, to manage access to your account, and for other purposes described in our privacy policy.

Vendor Register

Welcome to Maxifore Beta - Online Dental Grafting Solutions

Facility Contact Information

Facility Address

Billing Address

Delivery Address

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