Envy Smiles

  • Congratulations on taking your first step to your smile transformation! Please complete the consultation that follows. We look forward to making you smile!

  • Are you interested in our current promotion?*

  • PLEASE READ THE FOLLWING IMPORTANT INFORMATION

     

    There is a high demand for NO-prep (no shaving) porcelain veneer smile transformations. Although we would love to offer consultations to everyone, due to limited availablity, we can only extend consultations to those that are ready to start their process within the next 12 weeks. Starting the process requires you to pay a deposit, which will secure your initial appointment date up to 12 weeks out. For appointments beyond this timeframe, payment in full will be required to secure promotional pricing. If you are unable to start your smile transformation journey within the next 12 weeks AND are unable to reserve the promotional pricing in full, we ask that you return and submit your form closer to a date that's near your desired timeframe.

    You may also reserve a date that is over 12 weeks out by paying your deposit and agreeing to pay regular price for your smile transformation. This option voids any promotional pricing that is currently being offered at the time you reserve your appointment.

  • Choose one of the following*
  • Format: (000) 000-0000.
  • Gender*
  • How many smile transformation consultations have you had in the past?*
  • Which payment method will you be using for your new smile?*
  • A deposit is required to reserve your initial appointment.* Please choose an option below.*
  • I understand that paying my deposit OR paying in full will be the only way to secure promotional pricing. I understand that deposits are non-refundable and non-transferable.*
  • Please select ALL that applies to you*
  • What timeframe are you looking to reserve your initial appointment and start your smile transformation process?*
  • What is your desired shade of veneers?*
  • We offer customized smile designs for all clients.*
  • Did you know that all of our porcelain veneers come with a 1 year warranty and we also have an extended warranty option available?*

  • Please submit the following picture exactly as the example image shown below. It's very important to submit clear, unfiltered photos. Your uploaded photos are confidential and will not be shared. If you have any issues, please email us at Envsmiles@gmail.com.

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  • Please submit the following picture exactly as the example image shown below. It's very important to submit clear, unfiltered photos. Your uploaded photos are confidential and will not be shared. If you have any issues, please email us at Envsmiles@gmail.com.

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  • Please submit the following picture exactly as the example image shown below. It's very important to submit clear, unfiltered photos. Your uploaded photos are confidential and will not be shared. If you have any issues, please email us at Envsmiles@gmail.com.

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  • Please submit the following picture exactly as the example image shown below. It's very important to submit clear, unfiltered photos. Your uploaded photos are confidential and will not be shared. If you have any issues, please email us at Envsmiles@gmail.com.

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  • Please submit the following picture exactly as the example image shown below. It's very important to submit clear, unfiltered photos. Your uploaded photos are confidential and will not be shared. If you have any issues, please email us at Envsmiles@gmail.com.

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  • Please submit the following picture exactly as the example image shown below. It's very important to submit clear, unfiltered photos. Your uploaded photos are confidential and will not be shared. If you have any issues, please email us at Envsmiles@gmail.com.

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  • Fraudulent Activity

     

    Envy Smiles does not tolerate any form of fradulent activity. We have security measures in place which protects our establishment as well as our clients personal information. 

     

    We reserve the right to refuse service to any client without a given explanation.

     

    We greatly appreciate your cooperation and efforts in assisting with maintaining a safe, secure, and positive environment.

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