Discount Plan Application
NORTH BROAD FAMILY DENTAL DISCOUNT PLAN
PRODUCTS INCLUDED: HEARING, VISION, PRESCRIPTION, LASIK VISION CORRECTION, DENTAL
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Step 1: Billing Options

Select a billing option:
 
Member Only
/Month
/Year
(A 17% SAVING)
Member Plus Family
/Month
/Year
(A 17% SAVING)

*Plus a one-time non-refundable processing fee of $10.00


 
$11.99 billed monthly + $10.00 one time non-refundable processing fee


Total = $21.99 will be charged for your first month, $11.99 will be charged monthly thereafter



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