By signing this you acknowledge the following. This is not dental insurance. There are no waiting periods, pre authorizations, or deductables. Membership Plan is non transferable and non refundable. Plan begins upon payment in full. Individuals listed on this form are aware they have been signed up. Individuals are responsible for maximizing the benefits of their membership plan. These plans do not dictate treatment. Per the promotion, benefits for 2020 are free and will auto renew Jan 1, 2021. All plans purchased during promotional period expire December 31, 2021.