Book Appointment

Your perfect smile is a click away!

Purchasing Agreement: Fake Inc.

Fake Inc. blah blahblah

How to Purchase: Carrier pigeon.

Discounts and Terms: 100% off. You get a car…you get a car…

*$ Volume levels represent total Cooperative volume, not individual practice volume.

    Purchasing Agreement: Fake Inc.


    Once submitted, the Agreement will be sent to our the associated vendor partner for a rep assignment and flagging in their system. Confirmation will be emailed to you when your vendor rep has been assigned.

    Having issues submitting the online form? Download the paper form here and send it to your local Area Director for submission. Click Here for Paper Agreement.