If you are NOT a Patient in our office, please enter YOUR first and last name. For date of birth you may enter 01/01/2001.  

We appreciate the opportunity to sponsor your organization. First priority is given to patients who are currently in orthodontic treatment with our practice. As with any business, we have a budgeted amount to spend per quarter and we will do our best to accommodate your request. We require 4 weeks notice and a W-9 form to be able to process your request. Please email a copy of the W-9 to: kelley@go2svo.com