May 2025! The Science of Products and Technology: Old.New. Tried and True.
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Name (as it appears on your license)
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First Name
Middle Name
Last Name
E-mail
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example@example.com
E-mail confirmation
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Phone Number
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License number (N/A, if you do not have a license number)
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License types
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RDH
RDHAP
RDA/RDAEF
DDS
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Membership Status (membership status will be verified)
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Potential Member (Non-members of CDHA/DDS/RDA/RDAEF/Other)
CDHA members
CDHA Student members
CDHA Student potential-members
My Products
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Potential Member
Non-members/DDS/RDA/RDAEF/Other
$
44.00
Quantity
1
2
3
4
5
6
7
8
9
10
CDHA Member
membership will be verified
$
22.00
Quantity
1
2
3
4
5
6
7
8
9
10
CDHA Student Member
$
10.00
Quantity
1
2
3
4
5
6
7
8
9
10
CDHA Student Potential-member
$
15.00
Quantity
1
2
3
4
5
6
7
8
9
10
Credit Card Details
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