Reserve Coupon Space by June 17, 2016

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1 Reserve Coupon Space by June 17, 2016 Your Best Source for Special Offers and Discounts Dental Products Value Book Incredible Cause Incredible Value INCLUDING Electronic version offering online coupon redemption! Web Access Code: Dental Lifeline Network is a 501(c)(3) humanitarian organization providing access to comprehensive dental services for people with disabilities or who are elderly or medically fragile.

2 To receive credit, return this coupon with your order or present it to your participating dealer representative. Expires December 31, No photocopies, send only original coupon. Sales tax, delivery charges not discountable. All terms per individual distributor will apply. Limit, one coupon per order. To redeem, detach & mail coupon with invoice showing qualifying purchase. Expires December 31, No photocopies, send only original coupon. Moisten and affi x the mailing label (at right) to your envelope. BENCO DENTAL COMPANY 800.GO.BENCO HENRY SCHEIN DENTAL Customer Service: DENTAL HEALTH PRODUCTS, INC PATTERSON DENTAL NDC DENTAL Visit to view the complete list of participating NDC Dental distributor companies. BURKHART DENTAL REACH THOUSANDS OF NEW CUSTOMERS Dentists purchase the DentaCheques paper or e-book from their distributor sales representative for $149. You can participate in 3 ways: Coupon Type Coupon Offer Description Printed Coupon Sample e-coupon Sample Dealer Discount Six $20 off an order of $300 or more. Optional $10 off a service or maintenance call Dealer s Coupon Dealer Discount Offer Dealer Discount Offer GET $20.00 OFF AN ORDER OF $300 Get $20.00 OFF Get $20.00 off any $300 minimum order from one of the participating dealers listed on the back of this coupon an order of $300 Name Address Limit, one coupon per order Enter date of transaction City State Zip Signature Your Company Logo Here $20 OFF Service/Maintenance Offer GET $10 OFF ANY SERVICE OR MAINTENANCE CALL The Dealer has the right to refuse this offer due to dental office located beyond dealer geographical area. Participating Dealers MEGAsample Our sampling program: free samples sent directly to the dentist. Your Product Photo 01 Your Company MEGAsample Coupon Logo EXCLUSIVE OFFER! Get X (Free Product)FREE! Your Company Name Street Address City, State ZIP (800) Enter date of transaction DO NOT MAIL! Redeem all your MEGAsamples at: EXCLUSIVE Your Product Photo Get X (Free Product) FREE! Descriptive Copy: Your Company Logo Phone Number Product Rebate Rebates or buy/get offers on qualifying purchases. Buy Three Products and Get the Fourth FREE! Your Company Logo Your Company Name Street Address City, State ZIP (800) Enter date of transaction 00 Your Product Photo Manufacturer s Coupon 00 Your Company Logo Buy X (qualifying purchase) and Get X (product or rebate) FREE! Name EXCLUSIVE OFFER! Address Descriptive Copy: Option 1 City State Zip Option 2 Signature Descriptive copy that highlights benefi ts of this product Quality products at a very affordable price. Your Company Name Street Address 2nd Line Address City, State ZIP EXCLUSIVE Your Product Photo Buy X (qualifying purchase) and Get X (product of rebate) FREE! Your Company Logo Phone Number DentaCheques is produced in dealer-specific versions to exclusively target your customers. Your product offers increase the value of the DentaCheques book which, in turn, increases book sales. Every book sold generates $1,500 in dental care for people desperately in need through Dental Lifeline Network s flagship program, Donated Dental Services (DDS).

3 DentaCheques Sales Directly Impacts Vulnerable People 100% of DentaCheques sales support Dental Lifeline Network s Donated Dental Services (DDS). The DDS program provides comprehensive dental treatment for needy individuals with disabilities or who are elderly or medically fragile and have no other way to get help. Read Windy s Success Story: Vernice Windy age 80, lives in Iowa and suffers from rheumatoid arthritis and hearing loss. He lost both his wife from cancer and his son in the same month in Windy has limited income and with hospital bills and funeral expenses he could not afford care for his dental health. Windy had no upper teeth and only seven lower teeth. He was in desperate need of dental treatment. A Donated Dental Services (DDS) volunteer transformed Windy s life. Dr. Christopher Bogue extracted Windy s remaining teeth. Oral Arts Dental Lab, donated full upper and lower dentures. Windy is able to chew real food again and enjoys his new smile. Thank you, I can t ever repay you, I saw Dr. Bogue and his gracious staff. I really enjoyed getting to eat a Thanksgiving meal with my new teeth. Vernice Windy, DDS patient Vernice Windy with Dr. Christopher Bogue Sales Force Support DentaCheques Sales Tool Kit This ipad app houses information in a concise, easily-accessed format, and is the go-to place for dental supply company reps to find all things DentaCheques. DenTrek Training Module Dental supply company reps can take an online training course about the DentaCheques program through DenTrek.

4 MEGAsample Order Form Product Offer - Front Side of Coupon(s) All information is required. DLN produces artwork Offer # (Print or scan this form once for each coupon submitted) GET: FREE! A $ Value (MUST provide Value Amount) MAIL Is this an ExClusivE OffEr!? Yes No Brief Product Description: (less than 20 words) Please print clearly and legibly. This will appear exactly as is on your coupons. Printed Advertising - Back Side of Coupon(s) IMPORTANT: One ad per MEGAsample (Ex: If you would like to run a half-page ad, you should have 2 MEGAsample coupons). Please choose one of the following options: OPTION 1 I will produce original, final artwork per Ad Specifications Specify size: Full Page ad with 4 coupons BEST VALUE 3/4 page ad with 3 coupons 1/2 page ad with 2 coupons 1/4 page ad with 1 coupon Submit Final Artwork as PRESS QUALITY PDF as directed in Ad Specifications sheet OR OPTION 2 DLN will produce our artwork Please provide artwork of your logo plus color product photographs, as appropriate. text and graphics to mike@jensonadvertising.com. Please format photos as JPEG and logos as EPS files. Digital proofs will be provided by . *Required Please indicate text for back of coupon: Unused ad space can be used to promote Dental Lifeline Network and its programs. Submit your order form(s) to Mike Jenson Please complete and submit one order form for each offer completed order forms to: mike@jensonadvertising.com or Print and fax order forms to:

5 Product Rebate Order Form Manufacturer Product Rebate Offer - Front Side of Coupon(s) All information is required. DLN produces artwork Offer # (Print or scan this form once for each coupon submitted) BUY: GET: FREE! A $ Value (MUST provide Value Amount) MAIL Is this an ExClusivE OffEr!? Yes No Brief Product Description: (less than 20 words) Please print clearly and legibly. This will appear exactly as is on your coupons. Printed Advertising - Back Side of Coupon(s) IMPORTANT: One ad per Product Rebate (Ex: If you would like to run a half-page ad, you should have 2 Product Rebate coupons). Please choose one of the following options: OPTION 1 I will produce original, final artwork per Ad Specifications Specify size: Full Page ad with 4 coupons BEST VALUE 3/4 page ad with 3 coupons 1/2 page ad with 2 coupons 1/4 page ad with 1 coupon Submit Final Artwork as PRESS QUALITY PDF as directed in Ad Specifications sheet OR OPTION 2 DLN will produce our artwork Please provide artwork of your logo plus color product photographs, as appropriate. text and graphics to mike@jensonadvertising.com. Please format photos as JPEG and logos as EPS files. Digital proofs will be provided by . *Required Please indicate text for back of coupon: Unused ad space can be used to promote Dental Lifeline Network and its programs. Submit your order form(s) to Mike Jenson Please complete and submit one order form for each offer completed order forms to: mike@jensonadvertising.com or Print and fax order forms to:

6 Manufacturer Participation Form and Fees Please fill out completely, all information is required. Company: Contact Person: Title Address: City: State: Zip: Telephone #: Fax # Please choose the dealer books in which your offer(s) should be placed. Check all that apply. Benco Dental Burkhart Dental Henry Schein Dental NDC Dental Patterson Dental To opt out of e-dentacheques check here Coupon Offer/Artwork Deadline: June 17, 2016 Number of MEGAsample Reverse of Coupons: Number of coupons or Product Rebate Coupons Price per coupon Includes Ad Space on x price per coupon 4+ $575 per coupon Full page ad BEST VALUE! 3 $675 per coupon ¾ page ad 2 $675 per coupon ½ page ad 1 $800 ¼ page ad Total enclosed Send Participation Form and Payment to Dental Lifeline Network by June 17, 2016 Participation Form: Fax this signed participation form to Dental Lifeline Network Payment: Mail a check to Dental Lifeline Network or call the DentaCheques number to provide a credit card for payment. Mailing Address: Dental Lifeline Network, th Street, Suite 100, Denver, CO DentaCheques: Fax: DentaCheques azemyan@dentallifeline.org Submit Coupon Order Forms and Graphics for Ad Space Coupon Order Forms: completed order forms or print and fax order forms to Mike Jenson. Please submit one order form for each offer. Submit coupon artwork to Mike Jenson as indicated on Ad Specifications sheet Signed artwork approval must be faxed to Mike Jenson at Read and Accept Memorandum of Understanding We will help Dental Lifeline Network expand humanitarian dental programs by providing the offer(s) described on attached sheets for inclusion in the edition of the DentaCheques Value Book. Offer deadline is June 17, A PDF proof of each coupon will be provided. We will need to review and submit signed written approval of the proofs by July 29, We realize that each offer will be reviewed for content. The reviewing group has the authority to deny, with cause, the inclusion of any inappropriate or unacceptable offer which may be submitted. We will be advised by July 7, 2016 of the decision regarding each offer hereby submitted. We understand coupon book sales will begin JANUARY 1, and coupons will then become valid. We agree to honor each coupon which is properly redeemed by December 31,. We also acknowledge that Dental Lifeline Network has not made any guarantee of either a minimum or maximum number of coupon books to be sold. We accept this Memorandum of Understanding by participating in the DentaCheques Value book. Signature: (Required) To certify this document, please provide an electronic signature by typing your full name. SUBMIT FORMS

7 Ad Specifications Submit text and graphics to Mike Jenson. BEST VALUE! Final Art Specifications: Preferred format is press-ready PDF, prepared for print reproduction with all fonts embedded. Other formats accepted are: Illustrator EPS, with all fonts outlined. NO Quark or InDesign files please. 4 Product Offers Full Page/Full Bleed x 11 Live 9 x 11.5 Trim 9.25 x Bleed 3 Product Offers 3/4 Page Size: 7.5 x Ruled box outline Press-ready PDF settings will be provided upon request. All tiff files must be prepared with aminimum resolution of 300 dpi dpi preferred for line art. Picture files must be Tiff (resolution 300) or EPS format (GIFS not accepted). All files must be CMYK (RGB files not accepted). File Delivery: files under 14MB to mike@jensonadvertising.com Deliver larger files on CD to Dental Lifeline Network or contact mike@jensonadvertising.com for dropbox instructions 2 Product Offers 1/2 Page Size: 7.5 x 5.5 Ruled box outline 1 Product Offer 1/4 Page Size: 7.5 x Ruled box outline Proofs will be provided, and signed artwork approval will need to be faxed to Mike Jenson at Please send all questions, comments or concerns regarding ad material requirements to: Mike Jenson mike@jensonadvertising.com Phone Thank you! Artwork Submission Deadline: June 17, 2016