Topic: Mega Issues Forum Speaker:North Suburban Dental Hygienists Society When: Wednesday, May 2, 2012 - 3 CE Seminar Time: Sign-in Begins at 6:00pm Seminar begins promptly at 6:30pm - 9:30pm
Mail-in Registration Deadline: Mail-in Registration must be postmarkedNO LATER THAN Wednesday, April 25, 2012
This meeting is held at the Bristol Court Banquet Hall adjacent to the Mt. Prospect Plaza. Bristol Court is located at 828 Rand Road, Mt. Prospect, IL (between WalMart and Menards). Bristol Court phone number is (847) 577-6055 (Bristol Court does not provide information on NSDHS seminars).
First Name
Last Name
RDH License #: 020-
(Required)
Dentist License #: 019-
(if attending)
Phone:
E-mail Address:
necessary for handouts
Dinner Entree:
Chicken Marsala
OR
Veggie Lasagna
ADHA Member $29.00 (All ADHA members need to have their 2012 dues paid up to date to be eligible for member status)
Membership will be verified; if you are unsure of your ADHA membership status, you may click to contact ADHA membership services or call (312) 440-8900