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ABOUT CITY DENTAL LOUNGE CONDITIONS Offer Extends to corporate clients & spouse. 10% discount cannot be combined with any other offer or special promotion. Discount applies to Dental services and not any consumable products. You must tell us that you are a corporate member at the time of appointment to receive the discount. Ensure you have signed up on the corporate form. Payment due at time of service. Our corporate offer is reviewed on an annual basis We reserve the right to withdraw our offer at anytime. About Dr Karen Harris Director of City Dental Lounge Otago University Graduate 30 years Clinical and Cosmetic Dentistry experience President of NZ Dental Association Wellington Branch 2008 Member of Clinical Board of Lumino Dental Group 2009 Committee member Academy of Cosmetic Dentistry 2012 Memberships Academy of Cosmetic Dentistry New Zealand Dental Association Auckland Dental Association Australasian Society of Computerized Dentistry Fellow of International Congress of Oral Implantologists Certified Provider: Dental Lasers: Erbium YAG and Diode Cerec CADCAM: single visit crowns Adult Orthodontics: Invisalign, Magic Braces IDental Implant Surgery and Prosthetics Facial Aesthetics (Botox) • Digital smile design MEET THE TEAM Fill out this form & send it to: [email protected] FIRST NAME: .............................................................................. LAST NAME: ....................................................................................... EMAIL: ............................................................................................. PHONE NUMBER: ......................................................................... COMPANY NAME: .................................................................................................................................................................................................... Sign me up for the Corporate Newsletter with Special Offers Yes / No PLEASE TICK ONE OR MORE: STANDARD 10% Corporate discount on all dental services PACKAGE 1: Corporate Check-up Package $250 PACKAGE 2: Corporate Annual care Package $500 SIGN UP FORM FOR CORPORATE CLUB E: [email protected] W: citydentallounge.nz Dr Harris Dentist & Director Rachel Dentists Assistant Rebecca Hygienist Megan Reception Patient Coordinator

SIGN UP FORM FOR CORPORATE CLUB · Committee member Academy of Cosmetic Dentistry 2012 PHPEHUVKLSV Academy of Cosmetic Dentistry New Zealand Dental Association Auckland Dental Association

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Page 1: SIGN UP FORM FOR CORPORATE CLUB · Committee member Academy of Cosmetic Dentistry 2012 PHPEHUVKLSV Academy of Cosmetic Dentistry New Zealand Dental Association Auckland Dental Association

ABOUT CITY DENTAL LOUNGE

CONDITIONSOffer Extends to corporate clients & spouse.

10% discount cannot be combined with any other offer or special promotion.

Discount applies to Dental services and not any consumable products.

You must tell us that you are a corporate member at the time of appointment to receive the discount.

Ensure you have signed up on the corporate form.

Payment due at time of service.

Our corporate offer is reviewed on an annual basis

We reserve the right to withdraw our offer at anytime.

About Dr Karen Harris 

Director of City Dental Lounge

Otago University Graduate

30 years Clinical and Cosmetic Dentistry experience

President of NZ Dental Association Wellington Branch 2008

Member of Clinical Board of Lumino Dental Group 2009

Committee member Academy of Cosmetic Dentistry 2012

Memberships

Academy of Cosmetic Dentistry

New Zealand Dental Association

Auckland Dental Association

Australasian Society of Computerized Dentistry

Fellow of International Congress of Oral Implantologists

Certified Provider:

Dental Lasers: Erbium YAG and Diode

Cerec CADCAM: single visit crowns

Adult Orthodontics: Invisalign, Magic Braces

IDental Implant Surgery and Prosthetics

Facial Aesthetics (Botox) • Digital smile design 

MEET THE TEAM 

Fill out this form & send it to: [email protected]

FIRST NAME:  ..............................................................................        LAST NAME:  .......................................................................................

EMAIL:  .............................................................................................        PHONE NUMBER:  .........................................................................

COMPANY NAME:  ....................................................................................................................................................................................................

Sign me up for the Corporate Newsletter with Special Offers      Yes / No

PLEASE TICK ONE OR MORE:

             STANDARD 10% Corporate discount on all dental services

             PACKAGE 1:   Corporate Check-up Package $250                                              

             PACKAGE 2:   Corporate  Annual care Package $500

SIGN UP FORM FOR CORPORATE CLUB

E: [email protected]  W:  citydentallounge.nz

Dr Harris Dentist & Director

Rachel

Dentists AssistantRebecca Hygienist

Megan Reception

Patient Coordinator