Smiles by Gr8ness

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Smiles by Gr8ness

Dental Hygiene Kit - Order Form

This unique and customizable dental hygiene kit comes with your essentials: toothbrush, floss, and plaque identifying toothpaste. Also included with this kit is a step by step oral care instruction card with music, tooth fairy keepsake, learning activities/games and an optional live video interactive session to get in person questions answered or some useful tips.
Standard kit includes essentials for 2 Adults 2 children.

Email *

Full Name *

Contact Number *

How many children under 8? *

How many children over 8? *

How many adults? *

Child/Children's first name for personalization. (Please use comma after each name) *

Please select box option. *

Standard Kit - $100.00

Additional child/children - $20.00

Additional Toothpaste- $28.00

Additional Kids Activities - 5.00 per activity

Additional Kids Craft- $15.00

Required

Flavour of toothpaste. *

Bubblegum

Mint

Delivery Method *

Delivery- $10.00 GTA

Curb Side Pick Up

Outside GTA $20.00

Other:

Required

Full Address *

Would you be interested in an interactive session on oral hygiene? *

Yes

Payment Method *

Email Money Transfer - smilesbygr8ness@gmail.com

Credit Card- An invoice will be sent to email address above.

A copy of your responses will be emailed to the address you provided.

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