Woodside Crescent Dental Plan Discount Form

Thank you for being part of our Woodside Crescent Dental Plan

    In order to process your 30% discount, please complete the form below. Successful completion will result in a confirmation email being sent to the email address provided. If you do not receive a confirmation by email, please initially check your spam folders before calling or emailing.

    Your Details:

    The discount offered will reduce the fee payable for your plan on 1st July 2020, 1st August 2020, and 1st September 2020 by 30%, subject to the qualifying dates below. On 1st October 2020 your plan subscription payment will return to normal.
    In order for your request to be processed in time for the 1st July 2020 collection this form needs to be completed by 20th June 2020. If you submit the request after 20th June 2020 the discount will be applied for the 1st August 2020 and 1st September 2020 collections. Submission after 20th August 2020 will result in the discount being applied to 1st September 2020 collection only.

    I accept the terms of this offer *

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