Receive the average net spend of two consecutive months as a credit toward the third month’s statement!

Rules and Restrictions:

  • Registration Required
  • By invitation only – Exclusive to new Unified Smiles Members
  • Credit applies to one month’s invoice only – cannot be carried forward
  • Alloy, Shipping, Implant Parts excluded

    Full Name:

    Practice Name:

    Street Address:



    Zip Code:

    Office Phone:

    Office Email:

    Promotion Start Month:

    Comments or any specific products/services you are interested in: