Dental Grants

If we have a donor(s) willing to fund a dental grant, you will eligible for consideration by completing the following form (if you would like to donate, please complete the form and state you would like to donate and someone will follow-up):

STEP 1
Complete an entry in the Shout It Out section. (2 mins)

This will help others to know they are not alone. YOU DO NOT NEED TO REGISTER. Each entry is completely anonymous!

STEP 2
Post a link back to Get Free Dental. (2 mins)

If you have a FaceBook account, click the 'LIKE' button on the main page of GetFreeDental.com, or you can post a link to GetFreeDental.com on ANY forum you participate. Once posted, include a link in the form submission below. Posting links back to Get Free Dental will help to spread the word of this site.


STEP 3
Complete the form below. (5 mins)


We only have 22 entries this month.

Name:
 
Street Address:
 
City, St and Zip:
 
     
Email Address:
 
Phone Number:
 
     
*Tells us your story:
 
   
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* if you entered your story in the Shout It Out section, tell us your screen name

 

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