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Name:_____________________________ CDT DDS RG Address:_________________________________________________ City/State/Province/Zip code:_________________________________ Phone: ( )_______________ Fax: ( )_______________ E-mail :_____________________@____________________________ THE COURSE I AM SIGNING UP FOR IS: (please check one)
DATE OF COURSE:___________/___________/ ________ COURSE CITY: ___________________________________ **NOTE: REGISTRATIONS MUST BE RECEIVED 2 WEEKS PRIOR TO ALL COURSES** CHECKS ONLY payable to DeVreugd Dental Seminars - 1506 Euclid Rd, Durham, NC 27713 Cancellation Policy: Full refund less $100.00 USD processing fee if cancelled 30 days prior to seminar date. Within 30 days, no refund will be given. However, payments can be transferred (one time only) to another seminar of the SAME NAME HELD WITHIN THE SAME CALENDAR YEAR. |
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"A Practical Approach to Posterior Tooth Morphology": COMPLETE 2 DAY COURSE $1,025.00 USD