Online Registration

Select a registrant from the menu and click "Add to Cart". If you would like to add more registrants, click "Continue shopping" in the new window. Otherwise, click "Proceed to checkout".

Registrants:

First dentist $125.00 Add'l dentist from your practice $75.00 First staff member $0.00 Second staff member $0.00 Add'l staff member $50.00

 

 

Fax Registration

Click on the button below to download/print the registration form.