I`m a patient at Kennet Orthodontics and I will be entered into a

I’m a patient at Kennet Orthodontics and I will be entered
into a drawing for a gift card of my choice for seeing you for
teeth cleanings on a regular basis during my orthodontic
care.
Patient Name:
Dental Office
Dentist /Hygienist Signature
Date
www.kennetortho.com
19991 Hall Road, Ste. 101, Macomb, MI 48044
(586) 416-4455
I’m a patient at Kennet Orthodontics and I will be entered
into a drawing for a gift card of my choice for seeing you for
teeth cleanings on a regular basis during my orthodontic
care.
Patient Name:
Dental Office
Dentist /Hygienist Signature
Date
www.kennetortho.com
19991 Hall Road, Ste. 101, Macomb, MI 48044
(586) 416-4455
I’m a patient at Kennet Orthodontics and I will be entered
into a drawing for a gift card of my choice for seeing you for
teeth cleanings on a regular basis during my orthodontic
care.
Patient Name:
Dental Office
Dentist /Hygienist Signature
Date
www.kennetortho.com
19991 Hall Road, Ste. 101, Macomb, MI 48044
(586) 416-4455