New Dental Patients At Doctor Kevin M Killian 's Office Can Win A Vacation for Two to Paris France!

Dr. Kevin M Killian
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Win A Free Trip To Paris, France! Win a Free Vacation for Two to Paris France when you schedule a new patient exam, x-rays and introdutory cleaning!

All new patients who schedule and complete a new patient exam, necessary x-rays and an introductory cleaning using the internet are eligible to win a free trip for two to Paris, France.

Just complete the following form and one of our team members will contact you as soon as possible to schedule a convenient time for your first appointment.

Please provide the following contact information:

Title & First name

Last name

Middle initial

Street address

Address (cont.)

City

State/Province

Zip/Postal code

Work phone

Home phone

Call me at

Best time is

How did you hear
about us?

FAX

E-mail

Check the box at the left if you want to enter the contest and not join the practice as a patient.

Your name will automatically be entered to win your Free Vacation to Paris, France once you have completed your initial appointments. Our practice works as part of a national alliance of top dental practices who have pooled their resources to make this free vacation opportunity possible.

Check here for contest rules.