Philips Zoom Teeth Whitening Rebate
If you are a Bento member and you recently purchased a Zoom Whitening treatment, send us the information below to receive your rebate.
Name
*
First Name
Last Name
Email
*
example@example.com
Bento Member ID Number
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Lot Number (optional)
Please upload pictures of the Lot Number Sticker (Front and Back)
*
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of
Did you pay for the Zoom treatment using a payment method in the Bento Dental App?
*
Yes
No, I paid the dentist directly or I am not sure
Upload a picture of your dated receipt
*
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Drag and drop files here
Choose a file
Cancel
of
Submit
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