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FREE SMILE MAKEOVER

Would This purchase be a:

VitaminPainkiller

3 Things I Hear Most (select any that describe you):

This will completely change my lifeI have a special event coming soonThis would restore my self esteem

4 Questions I always ask everyone on this page

If not Us, then Who?

If not Now, then When?

What's it really costing you not to smile?

Can you afford to wait?

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I hereby authorize the use of my likeness and/or story for any and all purposes. I agree that Brighter Image Lab will not be held liable for any loss, damages of injury associated with applying for, accepting, or using their new smile. I agree that Brighter Image Lab retains the right to make any and all decisions as to the nature of the products or services being rendered and/or to cancel any agreement or work being done for any reason whatsoever. By submitting this form, I confirm I have read and agree to all of the terms & conditions.

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