REGISTER YOUR BUYBACK EVENT FOR DONATION WITH OUR VETERAN'S ORGANIZATION

To donate candy to our partnering non-profit for distribution, you MUST complete this form. Once completed, our Veteran;s organization will contact you directly for your nearest shipping center.

Register Your Practice

By submitting this form, you agree to participate in the Halloween Candy Buy-Back Program, "buy" candy back from children during a stated period of time following Halloween, and send the collected candy to our Veteran's Organization.

Please allow 48 hours for your practice to be listed in the registry.

[?]The registered practice commits to donating a minimum of 100 toothbrushes with their buyback contributions. Please send with candy to our Veteran's Organization-->

Practice Name:
Your Name: (if different from above)
Street Address:
City
State:
Zip Code: ex: 12345 or A12B3C
Phone Number: ex: 1234567890
Fax Number: ex: 1234567890
Email Address:
Website:

We will be offering candy replacement with healthy xylitol candy at our buyback! [?]The registered practice will be offering replacement of regular halloween candy with tasty, oral health-conscious xylitol candy, as well as educating participants about the health benefits of regular xylitol usage.
Allow information to show up in our member directory

Enter your Zip to find a local buyback event near you!

REGISTER YOUR BUYBACK EVENT FOR DONATION WITH OUR VETERAN'S ORGANIZATION