Menu
Dental Supplies
Dental Supplies
Amalgam & Accessories
Anesthetics & Needle Products
Articulating Products
Aspirating Products & Materials
Bleaching & Whitening Products
Bonding Agents & Adhesives
Burs
Cements
CAD/CAM Products & Accessories
Cotton Products
Crowns
Denture Materials
Diamonds
Endodontic Instruments & Accessories
Finishing & Polishing Products
Gloves
Gypsum & Investment Products
Hand Care Products
Implant Products
Impression Materials
Infection Control Products
Instruments & Accessories
Lab Products
Laser Accessories
Light Bulbs
Medical & Surgical Products
Office & Patient Safety Products
Orthodontic Products
Paper Products
Pins & Posts
Preventive Products
Restorative Materials
Retainer Bands & Wedges
Retraction Materials
Rubber Dams & Accessories
Temporary Provisional Materials
Ultrasonic Cleaning Products
Vacuum Forming Products
Wax Products
X-ray Products
FirstClass Aligners
Smilers Aligners
Dental Supplies Promotions
Burkhart Private Label Catalog – 2023/2024
Dental Equipment & Technology
Extraoral Imaging
2D Panoramic
CBCT
Wall Mounted X-Rays
Phosphorous Plate Systems
Diagnostic Imaging
Mechanical Room
Air Compressors
Dry Vacuums
Amalgam Separators
Technology
3D Printing
CAD/CAM Mills
Scanners
Operatory Room
Dental Chairs
Specialty Chairs
Operator Stools
Assistant Stools
Saddle Stools
Chair Mounted Dental Units
Cabinet Mounted Dental Units
Dental Furniture
Dental Carts
Specialty Carts
Storage Carts
Hygiene Units
Dental Lights
Suction/Air Filtration
Small Equipment
Apex Locators
Curing Lights
Electrosurgery
Handpieces
Loupes
Microscopes
Prophy Units
Scalers
Soft-tissue Lasers
Sterilization
Sterilizers
Dental Instrument Washers
Ultrasonic Cleaners
Handpiece Maintenance Systems
Practice Guide
Opening Your Dental Practice
FAQs for Dental Start-Ups
What You Can Expect From Your Burkhart Account Manager
What You Can Expect From Your Burkhart Equipment Specialist Team
Dental Insurance 101
Contracting & Negotiating with PPOs
What’s an NPI and Do I Need One?
FAQs
Leadership
Vision Statements
Mission Statements
Leadership Strategies
Front Office Accountability Measures
Overhead Key Categories – Start-Up Dental Practice
Overhead Key Categories – Established Dental Practice
Resources
Practice Systems
Maintaining a Healthy Fee Schedule
Chart Documentation Guidelines
Consultative Case Presentation Skills
Resolving Patient Objections
Habits of a Highly Effective Dental Assistant
Time & Motion Analysis
Front Office Systems
Task Flow Guidelines
Constructing Zone Scheduling
Scheduling Scripting Strategies
Financial Scripting Strategies
Hygiene Recare
Patient ID System
Resolving Patient Objections
Outside Funding Sources
Monthly Financial Overview
Prospective Patient Scripting
Dental Insurance Verification
Hygiene Protocols
Periodontal Philosophy – Meeting Agenda
Prioritize Hygiene Downtime Responsibilities
RDH – DDS Patient Transition
Intraoral Camera Integration
Successful Hygiene Scripting
Human Resources
Setting Wages and Benefits
Job Descriptions
Employee Manual Resources
Team Communication
Cultural Integration Team Meeting Agenda
Team Agreement Statements
Fostering a Culture of Gratitude
Morning Meeting Agenda
Team Meetings
Compliance
Marketing
Branding Your Practice
GP Marketing Recommendations
Social Media Strategies
Referral Scripts
Business Solutions
Practice Guide
Opening Your Dental Practice
Supply Savings Guarantee
Success Stories
Calculate Your Savings
Office Planning & Design
Practice Support & Consulting
Bravo Rewards Program
Practice Analysis
Financing
Burkhart Equipment Finance
Burkhart Express Loans
What a Great Supply Rep Does
Payment Options
Service & Repair
Handpiece Repair
Training Materials
Repair & Maintenance Checklist
Insight & Resources
Articles
Events
Webinars
Publications
Catalyst
Catalogs
TIPS
Small Equipment Guide
Equipment Solutions
Specialty Dentistry
Our Culture
History
Careers
Giving Back
Testimonials
My Burkhart BillPay
Catalogs
Store
Contact
Spiff Authorization Form
Home
>
Spiff Authorization Form
Manufacturer Spiff Authorization Form
If you’d like to offer a Spiff to Burkhart Associates, please complete the following.
Manufacturer Name
*
Contact
*
Title
*
Phone
*
Email
*
Proposed Start Date
*
MM slash DD slash YYYY
Proposed End Date
*
MM slash DD slash YYYY
Spiff Description
*
Specific Products Included
*
(List or attach below all eligible product numbers.)
Eligible Product Numbers File
*
Max. file size: 100 MB.
Eligible Burkhart Associates
*
Account Managers
Equipment Specialists
Service Technicians
Clinical Digital/Technology Specialists
Regional Sales Managers
Other
Please Specify
Payout Method
*
Check
Credit on Account
Gift Cards (must be provided and distributed by manufacturer)
Award Trip
Reward Points
Reporting Needs
*
Baseline Report
Final Report and Invoice
Progress Reports (additional fee applies)
Desired Start Date
MM slash DD slash YYYY
Desired End Date
MM slash DD slash YYYY
Frequency
(Not more than monthly.)
Manufacturer Contact Agreeement
*
I agree to the Terms & Conditions below.
1. All spiff or sales contest programs of any kind must be approved in advance by Burkhart via this form.
2. All Spiff Programs are subject to a $500 Administration Fee plus $100 for each Progress Report, if applicable, separate from awards.
3. Payouts are due within 30 days of Program end. Burkhart reserves the right to short pay invoices in the event of late payments.
4. Manufacturer agrees to provide a pdf announcement, approved by Burkhart, which adequately defines the program, payout amounts and timing, eligible products, and eligible Burkhart Associates prior to launch of the program.
5. Program announcements/updates shall be made only through Burkhart communication channels, unless otherwise agreed.
6. Check and Credit on Account payments must be made to Burkhart for payroll disbursement to qualifying Associates.
7. Burkhart is unable to track leads, conversions, new user qualifications, etc. Manufacturer shall be responsible for capturing this information through other reporting or their field sales team.
8. If a customer rebate is tied to a spiff, Manufacturer is responsible for processing and disbursing rebates to end-user customers.
Comments
This field is for validation purposes and should be left unchanged.
Δ
Close
Search
Search