Single Registration

Date:
Name:
  AM PM Both
ADHA Member $60.00 $60.00 $95.00
Non-Members (RDH, DDS, DMD) $70.00 $70.00 $115.00
Dental Assistants $50.00 $50.00 $80.00



Group Registration

Date:
Team Special Both Courses: $360.00 (4 People) $455.00 (5 People) $550.00 (6 People)




2-3 Registrants Only

Date:
Name: Credential: Course:
Name: Credential: Course:
Name: Credential: Course: