Improving Your Smile Is Too Important

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Would you like to add express or warranty?
(Fees charged with down payment)

Are you ready to purchase Removable Dental Veneers?

By clicking “Yes”, I agree that the payment information I submit will be the method by which I will pay my initial down payment ($149 for single arch/$298 for double arch), and 3-Way Shipping and Processing ($46 for single/$92 for double) for a total up-front cost of $195 for a single arch/$390 for a double arch plus any optional fees I have chosen above - and that this amount can be charged immediately. I understand this charge will be refunded if it is determined that my application cannot be approved.

I confirm that I have read the E-Sign Consent and I agree to have the Terms & Conditions presented electronically.

By submitting this form I hereby authorize and instruct MSC Development to obtain and review my credit report. My credit report will be obtained from a credit reporting agency chosen by MSC Development. I further authorize MSC Development as a third-party financial provider any information that I submit, with Brighter Image Lab. 3rd party providers may contact me to discuss details or offers for which I may be eligible. I hereby swear or affirm that all information provided is true and accurate.