FindCE.com


Find-Speaker.com




Dental Sleep Medicine at the Roundtable X

Please fill out our event registration form!

Salutation
First Name
Last Name
Name Suffix
Title
Date of Birth
Office Name
Chosen Track
Experience in Sleep (1 being none and 10 if they can teach it)1   2   3   4   5   6   7   8   9   10  
What sleep organizations are you part of?
Mailing AddressHome   Work  
Address 1
Address 2
City
State/Province/Territory
State/Province/Territory (Outside North America)
Zip/Postal Code
Country
Phone (day)
Phone (evening)
E-mail address
Profession
State/Province/Territory Licensed in:
Attending Staff Members
Name
Position
Chosen Track
Name
Position
Chosen Track
Name
Position
Chosen Track
Name
Position
Chosen Track
Name
Position
Chosen Track
Name
Position
Chosen Track
Name
Position
Chosen Track
Name
Position
Chosen Track
Please indicate anyone with dietary restrictions and what those restrictions are.
In case of an emergency at the meeting, please contact this person:
Phone:
What aspect of this meeting is of most interest to you?General Topic   Location   Lectures/Workshops   Networking   Acquiring CE Units   Speakers (Please tell us who)   Other (Please explain)  
Details:
Total Number Attending Conference
Fees - Doctors: $1095.00 each, Team members-$895.00 each
Total Number Attending Saturday Evening Awards Dinner (Included in registration cost.):
Names of attendees attending Dental Sleep Medicine Bootcamp on Friday all day
Total Registration Cost:
Credit Card
Credit Card#
Discount Code and Discount Amount
Expiration
How did you hear about this event?
Cancellation Policy: Full refund less a $50 handling charge will be given if you cancel in writing 30 days prior to the opening of the meeting. No refund will be made for cancellations after this date.
Card Code

Sign In/Sign Out
About Us
FAQ
Contact Us
box_top_left   box_top_right
 

Our Newest  Event:

Wasted Days and Sleepless Nights

 Newly Registered Speakers:

Rubin Cheek

Fred Weiner

J.A. Shapira

 

 
box_bottom_left   box_bottom_right

 


box_top_left box_top_right

"The illiterate of the 21st century will not be those who cannot read and write, but those who cannot learn, unlearn, and relearn."
   -- Alvin Toffler

box_bottom_left box_bottom_right

 

Divider Text Right
THIS MONTH'S  POLL

Phones and Pagers at Meetings

When asked to turn off your phones and pagers at a meeting, what action do you take?
I turn it off
I put it on vibrate
I leave it on ring
 View Results