Sign Up Form
Course date Friday/Saturday January 22nd and 23rd 2016 Course fee $1,400 per doctor $850 per staff member
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How many doctors are attending $1,400 each
How many staff members are attending $850 each
Total cost for all attendees
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10 ADA CERP Credits
Refund policy: Prior to 30 Days 100% Within 30 days 50% towards future course
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