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Sam Tanoglu, D.M.D
General & Cosmetic Dentistry
101 Pleasant Street- Suite 208
Phone: (508) 770-0808 | Fax: (508) 754-3145
drsam@smilesbytanoglu.com
VIP Club
Dr. Sam Tanoglu would like to welcome you to our VIP Club. This club was created for people
without dental insurance and for patients who do not have enough benefits with their
insurance company. Being a member is easy and the benefits are tremendous.
As a member you will receive 20% OFF of all services (excluding crowns, veneers, implants and
dentures- they are 15% OFF) for the entire family.
To be a member in this club there is an annual fee of (*fees can be renewed yearly)
• Individual - $75
• Couple - $135
• Family (Unlimited members) - $175
Please note if you have insurance benefits, this VIP plan would apply after your insurance has
reached its max.
Keep in mind 15% OFF for veneers, crowns, implants, and dentures
Member Name:__________________________________________________________
Date of Membership:______________________________________________________
Member Signature:________________________________________________________
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