2023 Dan West Attendee Registration
Ortho Graduation Year
Street Address Line 2
State / Province
Postal / Zip Code
I will attend the meeting on Friday February 3:
In person at Hotel Zaza
Viewing on my computer through a webinar link (WebEx format). CDE Credit hours will be awarded based on actual hours of attendance.
For in person attendees, please select a meal option:
Braised Beef Short Ribs dish
Vegetarian Option (Spaghetti squash pasta dish)
I will not be eating lunch
( X )
I will be attending the retirement reception for Dr. English that evening.
Alumni, friends of Dr. English, and significant others are welcome to attend. A ticket is required for each individual attending the reception. Dinner and drinks are included in the ticket price.
I have already paid my 2022-2023 Century Club dues
Resident, full time faculty, or first year graduate registration
I still need to pay my Century Club dues
I want to help cover credit card processing for my Century Club dues
Retired Alumnus Registration
Guest must be an orthodontist and accompanied by a UTOAA member
Name of UT alumni attending the meeting with you:
Should be Empty: