HOW TO ENTER:
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Fill out the physical or online submission form below by listing all team members and provider birthdays
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If you choose to complete physical form, please fax it back to 434-338-6552 or email to contests@lynchburgorthodontics.com
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Send your completed sheet to us by February 9, 2024
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The winner will be selected by a random drawing and will be posted here on this website page on Monday, February 12, 2024
Don’t forget to give us a way to contact you by phone or email!
FILL OUT THE FORM ONLINE!
You also have the option of filling out the form online below!