Enter to Win FREE Dentures!

By completing this form you will have entered to win a free single or set of full dentures.
Do you have any remaining teeth?(Required)
Do you currently have dentures? (Upper, Lower or a Full Set) we do not offer FREE partial dentures)(Required)
Do your current dentures fit? (No sore spots or loose dentures)(Required)
Would you be willing to be video taped for educational and advertising purposes?(Required)
Drawing to be held at the end of each month until December 31st 2022
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