DISCOUNT PLAN APPLICATION
MEHTA DENTAL SAVINGS PLAN
Products Included: DENTAL, LASIK VISION CORRECTION, PRESCRIPTION, VISION
Espanol
Step 1: Billing Options

Select a billing option:
 
Member Only
Member Plus One
Member Plus Family (Up to four family members)




*Plus a one-time non-refundable processing fee of $20.00

Coupon/Promo Code: (optional)


$29.95 billed monthly  + $20.00 one time non-refundable processing fee

Total = $49.95 will be charged for your first month; $29.95 will be charged monthly thereafter



When would you like your membership plan to start?

 

LY0277 ONLINE APP


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