2010 New Graduate
Mail-In Registration Form
 

Topic: The Developmental Aspects of Sleep Apnea and The Role of the Dental Professional in the Diagnosing, Treatment and Prevention of Sleep Apnea and Associated Disorders
Speaker: Ira Shapira, DDS
When:
Wednesday, October 20, 2010 - 3 CE Seminar
Time: Sign-in Begins at 6:00pm
 Seminar begins promptly at 6:30pm - 9:30pm

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).

2010 Dental Hygiene Graduates: Pick a Month Appreciation Special
Attend September or October, 2010 Seminar at half-price

Harper Dental Hygiene Class of 2010 can use your coupon for a half-price seminar either September 15 or October 20, 2010. NSDHS strongly believes in students becoming involved in their professional association. Please SUBMIT COUPON along with this completed mail in registration form. New graduates MUST be a member of ADHA to qualify. Please be sure to register and pay your ADHA dues to keep you current.

Mail-in Registration Deadline:
Mail-in registration must be postmarked NO LATER THAN Wednesday, October 13, 2010

              

  First

 

  RDH License #: 020-
 


         Registration/Dinner/Seminar Tuition:

         2010 GRADUATE/ADHA Member $14.50
 

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


 Dinner Entree Choice (check one):

 
London Broil
Vegetable Lasagna  
  • Please fill out and print this form
  • Accompany 1/2 price coupon
  • Make checks payable to NSDHS for $14.50
  • Mail registration, check and coupon postmarked no later than Wednesday, October 13, 2010 to:

NSDHS
P.O. Box 8332
Rolling Meadows, IL 60008

If you have questions, please contact meeting coordinator Laura Burke, RDH at LBurkeRDH@yahoo.com

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