Go Beyond The Best Dental Plans


Join Now

Sign Up Online Or Contact An Agent At (866) 970-7444 Ext 703


First Name: *
Middle Initial: *
Last Name: *
Address: *

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Phone Number: *

###
-
###
-
####
Email: *
Terms *
 I herby give Total CareToday permission to apply one initial payment of $34.95, includes a $15.00 one time processing fee to my credit or debit card provided. 
 I herby give Total Care Today permission to apply monthly recurring payments of $24.95 to my credit or debit card provided. 
 I understand that I am purchasing a dental, vision, and alternative medicine discount plan. I have the right to cancel my membership within 30 days of the day I joined and receive a refund of my first month's dues of $24.95. The process 
Credit Card Type:
 Visa 
 Mastercard 
 Discover 
 American Express 
Name on Credit Card:
Credit Card Number *
Credit Card CVV2: *
Expiration date: *
Billing Address
 Same as Shipping 
Billing Address

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Promotion Code: