Bright Smiles Express

Groupon Redemption
Redeeming your Groupon is quick and easy.
To redeem your Groupon and have your kit shipped directly to you, please fill out the form below.

Our shipping department will be notified and your kit will be shipped to you within 5-7 business days.

If you ordered more than one Groupon, you must redeem each Groupon individually by filling out the form for each Groupon purchased.

Please Fill Out ALL Fields with an *, as they are all required. Thank You.

Groupon Voucher Number *

Groupon Bar Code *

Number of kits purchased

(you can only redeem one voucher for one kit at a time)

Email *

First Name *

Last Name *

Address *

Address 2

City *

State/Province *

Zip Code *

Country *

Phone *