Fredal Orthodontics

Smile with your pet and win smart glasses!

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Submit Photos

Fill out this form and submit your smile photos with your pet to be entered for a chance to win a pair of Ray-Ban AI Smart Glasses valued at $400! All submissions will be posted on our Facebook page, including the winner, so make sure you "like" our Facebook page. The deadline for submissions is August 31, 2024, so upload now!

First Name*

Last Name*

Email*

Phone Number*

Are you a patient of Fredal Orthodontics?

Send in at least one photo but we encourage you to send if more if possible! If you try to upload images that are 8 MB or more, you might get an error. If that happens, either reduce the image size or email them using the instructions below.

Photo Upload 1 (JPG only)

Photo Upload 2 (JPG only)

Photo Upload 3 (JPG only)

Photo Upload 4 (JPG only)

Photo Upload 5 (JPG only)

Photo Upload 6 (JPG only)

Tell us your pet(s) name and any other information you would like to share with us:

By checking this box I certify that I am 18 years of age or older (or have permission from my legal guardian.)

Legal Guardian Name (if under 18)

I hereby grant Fredal Orthodontics permission to use my photo(s) for the purpose of advertising including, but not limited to, internal office postings, video display monitors, newspaper/magazine/billboard advertisements, promotional/educational materials, and company internet websites/social media. The supplied images shall NOT be distributed or exploited separately or independently of Fredal Orthodontics.

If you are having trouble with the online form, just email your photos and information to info@fredalortho.com.