By signing this agreement I acknowledge that I have reviewed this information and fully understand this is not an insurance policy and there will be no third-party billing. I understand by enrolling in this membership I authorize the Russell W. McCalley, DDS, Inc. to run my credit card the first business day of every month. Monthly fees may increase after one year of the date on this agreement.

Membership will auto renew 10 days prior to the end of the membership year unless a written cancellation notice is received from the enrollee. We reserve the right to discontinue this program at the time of renewal.

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