Dental Care 50 is pleased to offer you three ways to easily enroll in their program. If you would like to fill out a form online please click here. If you would like to open up a form in Adobe Acrobat and print it off and mail it in please click here. The third option is to call Dental Care 50 and enroll over the phone. We also offer 3 ways to pay. Mail in a check, call and pay over the phone with a credit card or pay online by clicking one of the PayPal buttons below. You do not need a PayPal account to pay online through PayPal.

$75 1 Year Single Membership	$135 2 Year Single Membership
$130 1 Year Couple Membership	$230 2 Year Couple Membership