Congratulations for starting a Recurring Revenue Revolution for your dental practice. To begin your plan implementation process (which includes a secure enrollment webpage, custom brochure, plan management software, team training videos, and monthly support for your team) please complete the following form. Once submitted you will receive the next step via email or you can continue to the next step in your Members Area.
Please indicate the fee for each family plan
Maximum file size: 134.22MB
Once your FREE monthly support period has ended we will begin your monthly support charges. Please complete the below form so we can establish your future payments.
Please Download and Complete Your Credit Card Authorization Form*
*The Credit Card Authorization Form is for your monthly software support and enrollment webpage. As part of this promotion, you have received either 2 or 3 months of free support. Your support charges begin 2 or 3 months to the day after your enrollment webpage and custom brochure are complete, based upon the terms of your Plan Implementation when you purchased.