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Public

About SDCDS
Member Benefits
CE and Events
Classifieds
- View Classified Ads
- Place an Ad
Academy of Learning
- Dental Assisting Program
- Mentor and Leadership Network
Vendors
- Current Vendor Members
- Sponsorship Opportunities
Publications & Media
Public

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*Member + One Guest: EOY & Installation

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*Member + One Guest: EOY & Installation

*Member + One Guest: EOY & Installation

$170.00

Each SDCDS member is welcome to bring a guest. Registration ends December 1. Late registration will incur an additional fee.

First Name *

Last Name *

Email *

All attendees must have different emails to receive their BLS Card.

Are you a SDCDS Member?

License Number *

If you do not have one, put N/A.

Degree or Certification *

ADA Number

If you do not have one, put N/A.

Cell PhoneNumber

Grad Year

How did you hear about this event?

Dietary Restrictions

Register Guest 1

Yes

No

Guest 1: First Name

Guest 1: Last Name

Guest 1: Email *

All attendees must have different emails to receive their BLS Card.

Guest 1: Degree or Certification

Guest 1: Dietary Restrictions

Would you like to register an additional Person? (2)

Yes (+$85.00)

No

Guest 2: First Name

Guest 2: Last Name

Guest 2: Email

Guest 2: Degree or Certification *

Guest 2: Dietary Restrictions

Would you like to register an additional Person? (3)

Yes (+$85.00)

No

Guest 3: First Name

Guest 3: Last Name

Guest 3: Email

All attendees must have different emails to receive their BLS Card.

Guest 3: Degree or Certification

Guest 3: Dietary Restrictions

Would you like to register an additional Person? (4)

Yes (+$85.00)

No

Guest 4: First Name

Guest 4: Last Name

Guest 4: Email

All attendees must have different emails to receive their BLS Card.

Guest 4: Degree or Certification *

Guest 5: Dietary Restrictions

Would you like to register an additional Person? (5)

Yes (+$85.00)

No

Guest 5: First Name

Guest 5: Last Name

Guest 5: Email

All attendees must have different emails to receive their BLS Card.

Guest 5: Degree or Certification *

Product total

Options total

Grand total

*Member + One Guest: EOY & Installation quantity

SKU: R&REvent Category: Uncategorized

Contact

4747 Viewridge Avenue San Diego, CA 92123

director@sdcds.org

(619) 275-7188