MEMBERSHIP PLAN AGREEMENTMembership Plan Agreement • September 30th, 2020
This Membership Plan Agreement (this “agreement”) is entered into on (the “enrollment date”), between Cave and Cave Family Dentistry located at 9571 IN-56, French Lick, IN 47432 (“we” or “us”) and (“you” or "Responsible Party") for services provided to (“Member”). Member DOB
MEMBERSHIP PLAN AGREEMENTMembership Plan Agreement • July 24th, 2020
This Membership Plan Agreement (this “agreement”) is entered into on (the “enrollment date”), between Desert Dental – Ryan M. Wieseler, DDS located at 995 W. Orchard Ave., Hermiston, OR 97838 (“we” or “us”) and (“you” or "Responsible Party") for services provided to (“Member”). Member DOB Overview
ContractMembership Plan Agreement • June 27th, 2022
This Membership Plan Agreement (the “Agreement”) is made by and between Constellation NewEnergy, Inc. (“Constellation”) and you the authorized party (“Customer”) (each a “Party” and collectively the “Parties”) as of the date Customer makes payment to Constellation, (“Effective Date”). For good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the Parties intending to be legally bound hereby agree as follows:
Membership Plan – Hygiene 2Membership Plan Agreement • November 23rd, 2021
The Membership Plan that has been mutually agreed upon is Membership Plan – Hygiene 2, for which the monthly fee is £24 and entitles the patient to the following aspects of dental care:
Agreement means the executed Membership Plan Sign-up Form incorporating these Terms and Conditions.Membership Plan Agreement • November 10th, 2020
Applicant / Membership Applicant means a person who applies for a Membership Plan with Us and enters into this Agreement.
Membership Plan AgreementMembership Plan Agreement • June 28th, 2024
Two cleanings per year (adult prophylaxis-D1110), Two check-up exams per year (periodic eval-D0120), Regular dental x-rays (bitewings-D0274 or D0277, full mouth series-D0210, panoramic-D0330, periapical-D0220 or D0221), Two fluoride treatments (D1206), One emergency exam (for a toothache, broken tooth, or other dental emergency-D0140) and 10% off any additional treatment (excluding implant procedures, orthodontic treatment, CBCT imaging, and products).
MEMBERSHIP PLAN AGREEMENTMembership Plan Agreement • February 2nd, 2023
This Membership Plan Agreement (this “agreement”) is entered into on (the “enrollment date”), between Springs Valley Dental Care located at 9571 IN-56, French Lick, IN 47432 (“we” or “us”) and (“you” or "Responsible Party") for services provided to (“Member”). Member DOB 00/00/0000
SOUND IDEAS ANNUAL MEMBERSHIP PLAN AGREEMENTMembership Plan Agreement • February 12th, 2021
Issued by Sound Ideas (a Division of the Brian Nimens Corporation Limited) “Sound Ideas” with a primary place of business at 105 West Beaver Creek Road, Suite 4, Richmond Hill, Ontario, Canada, L4B 1C6
MEMBERSHIP PLAN AGREEMENTMembership Plan Agreement • May 9th, 2018 • Missouri
Membership Plan AgreementMembership Plan Agreement • August 19th, 2021
MEMBERSHIP PLAN AGREEMENTMembership Plan Agreement • February 2nd, 2023
This Membership Plan Agreement (this “agreement”) is entered into on (the “enrollment date”), between Springs Valley Dental Care located at 9571 IN-56, French Lick, IN 47432 (“we” or “us”) and (“you” or "Responsible Party") for services provided to (“Member”). Member DOB Overview
MEMBERSHIP PLAN AGREEMENTMembership Plan Agreement • June 5th, 2020
This Membership Plan Agreement (this “Agreement”) is entered into on (the “Enrollment Date”), between Jolyn Su D.D.S. located at 1426 112th Ave NE, Bellevue, WA 98004 (“We” or “Us”) and (“You” or "Responsible Party") for services provided to (“Member”). Member DOB
Membership Plan – 60:40 Comprehensive CareMembership Plan Agreement • April 5th, 2022
The following agreement is made between Phillips & Co Cosmetic Dentistry and yourself, and details the terms and conditions of the patient’s Membership Plan.
Membership Plan AgreementMembership Plan Agreement • July 3rd, 2024
Two cleanings per year (adult prophylaxis-D1110), Two check-up exams per year (periodic eval-D0120), Regular dental x-rays (bitewings-D0274 or D0277, full mouth series-D0210, panoramic-D0330, periapical-D0220 or D0221), Two fluoride treatments (D1206), One emergency exam (for a toothache, broken tooth, or other dental emergency-D0140) and 10% off any additional treatment (excluding implant procedures, orthodontic treatment, CBCT imaging, and products).
