Patient Financing Enrollment

.

Welcome to LendCare Patient Financing! You're about to join the many Invisalign - certified practices that are offering affordable and easy financing plans to patients.

Primary Contact Information

Question Title

* Practice Name

Question Title

* Phone Number

Question Title

* Extension

Question Title

* First Name

Question Title

* Last Name

Question Title

* Email

Question Title

* Job Position/Title

Question Title

* .

Primary contact is also the owner

If you have any questions, please call us at
1.844.472.9360 or email sales@lendcare.ca

20% of survey complete.

Patient Financing Enrollment

.

Question Title

* Practice Name

Question Title

* Phone NumberPlease enter 10 digits with no spaces

Question Title

* Extension

Question Title

* First Name

Question Title

* Last Name

Question Title

* Email

Question Title

* Job Position/Title

Question Title

* .

* Phone Number