Dr. Eva Berka

Certified Specialist in Orthodontics

OFFICE HOURS:

MON-THURS
8:00am - 5:00pm

FRIDAY
8:00am- 1:00pm

24 HOUR
EMERGENCY SERVICE
905 878-8865

 Contest Entry Form 
Please complete the form below to enter our office "Win an Overnight Stay at Wolf Lodge (family of 4)" contest. Milton Orthodontics will select the top 2 answers to our question, based on creativity.

All those who enter agree to allow Milton Orthodontics to release their full name and submission for promotional purposes.

If persons are under the age of 18, then Milton Orthodontics will require approval of the parent/guardian.

One entry per person.

Contest opens May 1, 2009 and closes July 31, 2009

Prizes include:
1) An Overnight Stay for a Family of 4 at Wolf Lodge
2) Oral B Electric toothbrush

This contest is open to all.

First Name:
 *
Last Name:
 *
Email Address:
 *
Address:
City:
 *
Postal Code
 *
Telephone:
 *
 
Question - Explain why going to Wolf Lodge would help your SMILE?
Answer:
 *
Mailing list signup:
 
Check this box to signup for our site mailing list.
Security code:
 *
Do not enter anything in this field:

* indicates a required field
 


Braces, Retainers, Invisalign - Orthodontics Serving Milton, Campbellville, Mississauga, Ontario
Milton Braces, Milton Orthodontic, Milton Retainers, Milton Dental

Milton Orthodontics

85 Main Street East
Milton, Ontario L9T 1N4
Phone: (905) 878-8865
Email:
drevaberka@miltonorthodontics.ca
Site Powered By
eBizWebpages.com
Online Website Design