Community Care Dental Program - Makeover Contest

Dawson Dental announces the next round of free makeovers, as part of the Community Care Dental Program. This year 4 lucky recipients from the greater Toronto area will recieve an Invisalign Invisible Braces Makeover.

If you or someone you know deserves a makeover you can apply by filling out this form.

Fill in this form to submit your 2010 application to receive 1 of 4 Invisalign Makeovers.

Name of Applicant
Your Name
Email Address
Phone

Which Dawson Dental Centre location is within a 10km radius of the applicant:

Is this your first time applying?		 Yes
No

Does the applicant have dental insurance?		 Yes
No

Social services or ODSP assistance within the last 5 years? 		Yes
No

In your opinion, are extractions necessary? 		Yes
No
I have no idea

How did you hear about our Community Care Dental Program makeover?

Picture of applicant

Explain to us why you think you or someone you know deserves an Invisalign Smile Makeover

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