Grant Dental VIP Club for 2020

Refer a Friend…Get Rewarded!

Your referrals are our greatest compliment! We are always accepting new patients! You can call in referrals, or fill out the form below.

In 2020, all of our patients are VIP’s! Each qualifying referral will be rewarded with a pair of movie tickets – enjoy a movie night on us!* You will also receive entries in our next Patient Drawing. The more patients you refer, the more entries you receive!

  • 1st referral of 2020 = 3 entries
  • 2nd referral = 5 entries
  • 3rd referral = 10 entries
  • 4th referral = 15 entries

Plus watch for other VIP perks throughout 2020!

*Some restrictions apply. We reserve the right to substitute awards of similar or greater value. Referred patient must be 18 or older in order to qualify, and must attend their scheduled appointment to receive your reward.


  • Current Patient Information

  • Who would you like to refer?

  • This field is for validation purposes and should be left unchanged.