Smile Card Order Form



Smile Cards

These standard, business card size referral generators, are printed on heavy card stock and are foil-stamped and embossed. Customized information is imprinted with black ink.

There are 24 standard text options including 8 specifically for Sedation and Anxiety-Free Dentistry. You can edit any of the text options or write you own.
PDF icon PDF of all 24 standard text options.

You can also print and fax your order to us:
PDF icon Smile Card Fax Order Form

Practice & Contact Info
Dr's Name — First and Last Practice Name Address City State Zip Phone Fax Contact Email
Text Options





Card Contact Info
Please type you contact info exactly as you want it to appear on your cards.





Quantity
If this is your first order, there is a one-time $65 setup fee.
Idaho residents, please add ID sales tax.

— $545 plus $30 shipping
— $620 plus $50 shipping
— $770 plus $65 shipping
Payment Info
(Your order will not be processed until payment is received)

Card Number: Expiration: Billing Zip Code:

You will receive a faxed proof within 5 business days. Please call our office if you have not received your proof within this timeframe.