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Enroll Online

Enroll Now for a low price of only $99.95 annually and your entire family will be covered. Or you can opt for the monthly plan at a low $9.95 per month. There is a $15 one-time registration fee.

Instructions:
Check the Success-Rx Dental / Vision Plan you wish to purchase and click the Add to Cart button. Your order will be processed through our Mini-Mall Secure Server.

  My Information:  
 Name        Gender   
 
  Spouse Information:  
 Name        Gender   
 
  Dependent's Name
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Cash-Back Commissions
Description Retail
Price
Your
Price
Free Affiliate
Reseller Affiliate
Individual Success-Rx Dental / Vision Plan
Monthly
$9.95
$8.95
$1.00
$3.00
Family Success-Rx Dental / Vision Plan
Monthly
$14.95
$9.95
$1.00
$3.00
Individual Success-Rx Dental / Vision Plan
Annual

$99.95

$79.95
$8.00
$24.00
Family Success-Rx Dental / Vision Plan
Annual

$149.95

$99.95
$10.00
$30.00
Reseller Affiliate - Individual Success-Rx Dental / Vision Plan Annual

$99.95

FREE
N/A
N/A
 

Check here to authorize the automatic renewal of my membership upon expiration and ensure uninterrupted Discount Dental & Vision savings.

 

There is a $15 one-time registration fee.
Effective Date: First of the Next Month.
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