Referral Card_2C
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Help Share a Smile AssociatesInDentistry.com Refer a Friend! Bartonville (309) 697-2228 Canton (309) 647-3331 Elmwood (309) 742-2071 Peoria (309) 686-4900 Washington (309) 444-8481 Ask for your FREE Gift! ...and
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Transcript of Referral Card_2C
![Page 1: Referral Card_2C](https://reader030.fdocuments.in/reader030/viewer/2022021420/58f1814c1a28ab62348b462f/html5/thumbnails/1.jpg)
Help Share a Smile
AssociatesInDentistry.com
Refer a Friend!Bartonville(309) 697-2228
Canton(309) 647-3331
Elmwood(309) 742-2071
Peoria(309) 686-4900
Washington(309) 444-8481
Ask for your FREE Gift!...and
![Page 2: Referral Card_2C](https://reader030.fdocuments.in/reader030/viewer/2022021420/58f1814c1a28ab62348b462f/html5/thumbnails/2.jpg)
We Appreciate You!
Name
Address
Phone
Reference Name
Relationship
We would love to help your family, friends and co-workers too! Refer a friend and you will both get a FREE thank you gift!
Call Today!* For new patient referral only. Gift awarded after your referral is seen for new patient exam. Patients have no obligation to make referral.