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Enroll Now to Start
Saving!
To enroll, click on the link
below to open a printable Adobe® Acrobat file on your computer.
Just print the form and provide us with your information.
Mail it to us with your enrollment fee and your first month,
annual or two-year membership fee.
You can also bring it with you when you visit your dental
provider.
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Membership Options |
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There is an Enrollment Fee of $25 for individuals and
individuals + spouse.
Enrollment fee for any family plan is $40. |
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| Membership Fees |
Annual |
2 Year |
| Individual |
135.00 |
225.00 |
| Individual & Spouse |
190.00 |
325.00 |
| Family * |
240.00 |
425.00 |
* Family Consists of a Member, Spouse and dependent children under
age 22 or a Member plus dependent children.
Click
Here to Start Saving!
TriDental, Inc.
PO Box 7243
Waco, TX 76714
Click Here For Your
Free Adobe® Acrobat Reader
Copyright ©2004-2017 TriDental, Inc. All rights reserved.
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