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2024 Event Survey
October 10, 2024
dental teams & businesses - it's so easy to participate in Freedom day usa! start by filling out this form and someone from our team will be in touch asap to help with the next steps!
*
Indicates required field
Name of Business
*
Please list the business name exactly as you would like it to appear on our site and social media pages.
Owner / Representative's Name
*
First
Last
This person must have the authority to provide the FREE offer to our Military participants on behalf of your company.
Contact Email
*
Business Phone Number
*
Business Address
*
Line 1
Line 2
City
State
Zip Code
Country
Business Website Address
*
please list the website address for your business. We will promote your website on our social media pages and will list it on the Participant page.
Hosting on any date other than the official event day of October 10? That's ok! If you know your date, please list your it here.
*
If you are participating on 10.13.22, you can leave this field blank. While it's always good to participate on the national date (you'll benefit from national media), you can choose any day that works best for your team!
If you know what your Freedom Day Thank You Offer Will Be, Please Describe It Below:
*
The service or item you are giving must be completely FREE, no strings attached. Examples: Free Teeth Cleaning, Free Oil Change or Free Sandwich. Please do not link the free service or item to something they must pay for.
New for 2024 - Each Dental Team will receive ONE custom FD USA Scrub Top, please select your preferred size below!
*
Small
Medium
Large
X-Large
XX-Large
XXX-Large
*Scrub tops will be shipped directly to you in May/June. You must complete the online registration form in order to be eligible to receive the Free Gift.
I am not a robot / spam.
*
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I agree to receiving marketing and promotional materials
Submit
Home
About Us
National Committee
State Directors
City Coordinators
Freedom Day USA - Official Song!
Freedom Day USA - In the News!
Testimonials & Photos
Honored Guests
Find Participating Businesses
Guest Book
Dental Teams
Dental Champions
Business Registration
Businesses
Volunteers
Make A Donation
List of Donors
Contact
2024 Event Survey