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Choose a lifetime of healthy smiles with the affordable Fresh Dental Plan.

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Account Information
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First Name (Primary Member)*
Last Name (Primary Member)*
Date of Birth*
Phone*
Email*
Shipping and Billing Details
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Apt, Suite, Etc. (Optional)
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Checkout Summary

Participating Office
Subscription Type
Initial Subscription Term
Years
Automatic Renewal
Your membership will automatically renew an additional subscription term upon expiration and will continue until canceled. You may turn auto-renew "on" or "off" using self-service options in the member portal or by contacting Member Support.
Cancellation
You may request cancellation at any time by contacting Member Support. You will receive a full refund of membership fees if (i) you cancel within the applicable cancellation window, and (ii) no services have been provided to you under the plan. Restrictions and exceptions may apply, please review Member Terms & Conditions for details.

Billing Frequency

Annual

Annual Fee

Amount

Primary Member:
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Total Annual Cost:
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Total Due Now:
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