Show Your Practice (and tell your story)

SUBMITTING YOUR PHOTOS AND TEXT

Thank you for taking time to submit your images and texts. This facility will allow you to upload images up to 20MB in total size.

You will receive an automated email confirming receipt of your submissions and they will go on to be reviewed by our marketing team. After the review, we will alert you to any use of your data and may request higher resolution images for use in printed media.

Meanwhile, please contact Stefana Zarkovic at Takara Belmont with any further enquires on +44 (0) 20 7515 0333 or dental@takara.co.uk

Please complete the form and upload your images below.

Your name *

Your surname *
Your practice name *
Your email *

Confirm your email *
Tell us about your Belmont experience
1. What was important to you when creating your practice?* [max 200 words]
2. How did Belmont feature in your practice design ambitions?* [max 200 words]
3. With hindsight, how have things worked out in your practice?* [max 200 words]
4. Please add any further detail that you would like to share about your practice.* [max 200 words]
5. Please choose and upload your images* [max 6 images = 4 MB file size] 4096 KB Left
6. Yes, I agree to Belmont's Terms and Conditions*
* required fields

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LITERATURE
We can post brochures and price lists to you
if you request them using the form opposite.

SALES
Do not hesitate to contact us directly on
T. 020 7515 0333
E. dental@takara.co.uk

PARTS & SERVICE DEPARTMENT
For parts and service assistance, please contact us here

MARKETING
Please contact Stefana Zarkovic with any enquiry.
T: 020 7515 0333
E: stefana@takara.co.uk

Show Your Practice (and tell your story)

Please complete the form and upload your images below.

Tell us about your Belmont experience

Are you sure you want to clear the form?

Latest Tweets