Discount Plan Application
DENTAL & VISION PLUS PLAN
PRODUCTS INCLUDED: DENTAL, HEARING, PRESCRIPTION, LASIK VISION CORRECTION, VISION, FINANCIAL COUNSELLING
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Step 1: Billing Options

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

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


 
$9.95 billed monthly + $20.00 one time non-refundable processing fee


Total = $29.95 will be charged for your first month, $9.95 will be charged monthly thereafter



When would you like your membership plan to start?

--- OR ---

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