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Two ways to become an Ambassador Dental Plans member:

1. Print Application (PDF) then Fax or Mail:
   OR
2. Online ...Read the the Membership Agreement and click continue.
   
   You will them be directed to our purchase a plan area.

Dental Office Forms

Membership Agreement

Application

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Our forms are available in Adobe Acrobat format.  You can download a free copy of Acrobat by clicking the Get Acrobat icon.