Checkout — Monthly Membership Trial

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Please submit the following information for signing up for this offer.

First Name *

Last Name *

Email Address *

Phone No. *

Mailing Address *

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Cardholder Name *

Card Type *

Card Number *

Expiry Month *

Expiry Year *

CVV * What is this?

I have read and agree to the Terms and Conditions and I understand the following:

MEMBERSHIP PLAN: I am enrolling in a 10-day trial of the MyDentalSavings Monthly Membership for $3.78, charged today. Unless I cancel before the trial ends, I will be charged $29.93 on day 11 and $29.93 every 30 days thereafter until I cancel. Charges already processed are non-refundable.

I understand that I may cancel at any time by visiting the cancellation page on the MyDentalSavings website.

Order Summary

MyDentalSavings Monthly Membership Savings Plan

10-day trial available

Payable Today $3.78

After Trial $29.93/mo

Unless you cancel before your 10-day trial ends, you will be charged $29.93 at the end of the trial, and then automatically charged $29.93 every 30 days until you cancel by phone, email, or mail through MyDentalSavings Customer Service.

Cancel anytime. No contracts. No hidden fees.

What is the CVV?

The CVV (Card Verification Value) is a 3 or 4 digit security code printed on your credit or debit card. It helps verify that you have the physical card in your possession.

Visa, MasterCard, Discover: 3 digits on the back of the card, after the signature panel.
American Express: 4 digits on the front of the card, above the card number.

We never store your CVV.

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