Skip to content

Caring for your well-being, 24/7

+237 6 92 83 26 40 contact@smiledom.net

Sign up for my plan

Four steps, about 5 minutes. You can subscribe for yourself, for your parents in the village or for the whole family.

1Your plan

Care15,000 FCFA / monthFamily : Contact usComfort20,000 FCFA / monthFamily : Contact usRelax25,000 FCFA / monthIndividual only

Type of subscription

IndividualFamily

Number of people

2The subscriber

The person who pays for the subscription — for themselves or for their loved ones.

TitleFirst nameLast namePhoneEmailAddress / neighbourhoodCityCountry

3The beneficiariesI am one of the beneficiaries myself

Beneficiary 1e.g. a parent in the village

TitleFirst nameLast namePhoneAddress / villageCity / region

Beneficiary 2

TitleFirst nameLast namePhoneAddress / villageCity / region

Beneficiary 3

TitleFirst nameLast namePhoneAddress / villageCity / region

Beneficiary 4

TitleFirst nameLast namePhoneAddress / villageCity / region

Beneficiary 5

TitleFirst nameLast namePhoneAddress / villageCity / region

4In an emergency

Someone close to the beneficiaries (a neighbour, for example) whom we can reach quickly.

Name of the neighbour or relativeTheir phone

I agree that SmileDom may use this information to manage the subscription and the follow-up of the beneficiaries, in line with the privacy policy.

The online form is coming soon. In the meantime, call us or message us on WhatsApp: +237 6 92 83 26 40 · WhatsApp

Need help? Chat with us