P PRIVILEGES MEMBER

Welcome to PRIVILEGES

Our exclusive PRIVILEGES Program provides business solutions that will help you keep your practice competitiveand profitable.

As a PRIVILEGES Member, you will receive priority service, the COMPLETEcare Advisor Equipment Inventory Trackerto track all of your warranties and service contracts, Members-only promotions, and PRIVILEGES Rewards Points (for electronic purchases) that can be redeemed for FREE travel, premium merchandise, and more!

Membership is FREE when you choose Henry Schein as the primary source for your medical supplies and business needs.

We have all the right solutionsHenry Schein is your direct line – and the only source you need –for all your clinical and office supplies. We carry over70,000 products in stock, including our own Henry ScheinBrand products– selected for high quality and high value.Your complete satisfaction is guaranteed on every product you purchase from us. Plus, we offer same-day shipping andnext-business-day delivery with a 99.5% fulfillment rateand minimal back orders.

Look to Henry Schein...for all the business solutions you’ll need to support yourpractice goals and help you deliver the best healthcarepossible to your patients.

• Equipment & Office Setup

• Equipment Sales Specialists

• In-office Laboratory Solutions

• ProRepair Small Equipment Repairs

• COMPLETEcare Equipment Protection Plan

• Financial Services-Equipment Financing-Demographic Reports-Henry Schein Platinum BusinessCard-Credit Card Acceptance-Patient Collections

• Electronic Medical Records & Practice Management Software

• Supply Management

• HSI Debit AutoPay Service

• Information Technology Services (ITS)

PRIVILEGES Value Certificates

Our exclusive value certificates are designed to reduce yoursupply expenses and introduce the full line of high-qualityproducts and practice solutions offered by Henry Schein.

PRIVILEGES Rewards Points1

Earn PRIVILEGES Rewards Points when purchasing the supplies needed to operate your business. Members earn 1 point for every dollar of purchases made using any of thefollowing electronic ordering solutions.2

• www.henryschein.com/medicalFor PC users with high-speed Internet

• ARUBA® eZ™ ScanBar Code Scanner FREE with PRIVILEGES Membership

• ARUBA® eZ™ Software Windows-based software for PC users with or without Internet

• ARUBA® eZ™ Touch-ToneAutomated telephone ordering system

More Great Benefits for Members Only!3

Visit www.henryschein.com/privilegesmdfor the latest program updates.

• PRIVILEGES Monthly E-Promotions

• Exclusive Quarterly E-Newsletter

• FREE COMPLETEcare Advisor EquipmentInventory Tracker

• Schein Quality Plus Program (SQP)

• Online Rx Sample Program

P SERVICE • LOYALTY • REWARDS

benefits

Disclosure Note: Upon any request by Medicare, Medicaid, Tricare or other payer, you mustreport the value of any benefit received from a discount program (e.g., points, gifts or other special awards).

©2008 Henry Schein, Inc. No copying without permission.Not responsible for typographical errors.

Please complete the PRIVILEGES enrollment agreement and review it with your Sales Consultant prior to

returning it via fax.You will need to review the program detailswith your Sales Consultant so they can explain the benefits of

membership and complete the required information on this form.The enrollment agreement must be signed by you and your Sales

Consultant in order to be processed. Please allow 2 weeks forenrollment processing. If you have any questions,

please contact the PRIVILEGES Help Line: 1.866.MED.VIPS (1.866.633.8477).

–––––––––––––––––––––––––––––––––––MEMBER NAME (AS IT SHOULD APPEAR ON MEMBERSHIP CARD)

–––––––––––––––––––––––––––––––––––CONTACT NAME (PLEASE PRINT)

*The PRIVILEGES agreement may not be automatically renewed for customers not meeting minimum purchase levels established from time to time by Henry Schein, or who have a past-due account status.The PRIVILEGES agreement may be cancelled by either party at any time upon written notification of cancellation.1PRIVILEGES Rewards Points are non-transferable. 2To qualify, members cannot have a past due account balance and must purchase a minimum of $250 electronically in the fiscal month. Accounts with a past due balance or a total less than $250 in electronic payments will not earn points for that fiscal month.3All offers expire 12/31/08. Disclosure Note: Upon any request by Medicare, Medicaid, Tricare or other payer, you must report the value of any benefit receivedfrom a discount program (e.g., points, gifts or other special awards.)

OFFICE USE ONLY

BILL TO JDE PRIV CODE PRIVILEGES #––––––––––––––––––––––––––––––––––––

–––––––––––––––––––––––––––––––––––CONTACT E-MAIL ADDRESS

–––––––––––––––––––––––––––––––––––CONTACT PHONE NUMBER FAX NUMBER

–––––––––––––––––––––––––––––––––––DOCTOR NAME

–––––––––––––––––––––––––––––––––––DOCTOR E-MAIL ADDRESS

–––––––––––––––––––––––––––––––––––AUTHORIZED SIGNATURE DATE

TO BE COMPLETED BY SALES CONSULTANT

CUSTOMER SHIP TO ACCOUNT # 70% ANNUAL SALES GOAL

ADDITIONAL SHIP TO # 70% ANNUAL SALES GOAL(Attach sheet including Ship To # and 70% Goal for additional locations as needed)

––––––––––––––––––––––––––––––––––––

SALES CONSULTANT SIGNATURE DATE––––––––––––––––––––––––––––––––––––

As a PRIVILEGES Member I agree:To strive to utilize Henry Schein as the primary source of my clinical and office supplies, equipment, technical services, inventory-management software and other business needs. I plan to purchase a minimum of 70% of my total clinical supplies from Henry Schein Medical and make payments for these items within your established payment terms.*

2008 PRIVILEGES FAX BACK ENROLLMENT AGREEMENTSend Fax To: (1-800-442-0511)

–––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––SHIP TO ACCOUNT NUMBER(S)

–––––––––––––––––––––––––––––––––––CONTACT MAILING ADDRESS FOR ALL ENROLLED LOCATIONS

Please sign me up for the Schein Quality Plus Program (SQP). Talk to your Sales Consultant for details.

Please complete the PRIVILEGES enrollment agreement and review it with your Sales Consultant prior to returning it via fax.You will need to review the program detailswith your Sales Consultant so they can explain the benefits of membership and complete the required information on this form. The enrollment agreement must be signed by you and your Sales Consultant in order to be processed. Please allow 2 weeks for enrollment

processing. If you have any questions, please contact the PRIVILEGES Help Line: 1.866.MED.VIPS (1.866.633.8477).

Revised January 2008