2024 Continuing Education Registration Form

NOTE: Please register one person per form submission. To register multiple people, return to this page and submit a new form for each person.

This form is for paying by credit card only. If you want to pay by check or purchase order, you must download the Registration Form PDF, fill it out and mail it to us. We cannot accept an online registration for checks. Thank you.

Mail: DSDS, 892 Eichele Road, Perkiomenville, PA 18074

Name:
Title:
Employer's Name:
(Staff registrants only)
Office Address:
City:
State:
Zip Code:
Office Phone:
Emergency Phone:
Email:
(Registration Confirmation will be sent via Email Only one week prior to the course)

Registration Categories (select one only)

DSDS/ADA Dentist
Non-DSDS/ADA Dentist
Dental Hygienist
Dental Assistant
Office Manager/Staff
Resident
Student
Spouse

REGISTRATION FEE:

September 10, 2024
CHUBB Cyber Coverage & Market Trends - Lily Yednock
Live Webinar - Zoom
7-8 PM - 1 hour with Q&A
1 CE credit hour
Free to DSDS members
October 4, 2024
Cosmetic Dentistry Conversion – How to Convert and Execute Cosmetic Cases from Start to Finish - Dr. Andi-Jean Miro
FULL DAY IN-PERSON - 8:30 AM - 4:00 PM
DSDS/ADA Member
$315.00 - before Sep. 25
$335.00 - after Sep. 25
NonADA Member
$415.00 - before Sep. 25
$435.00 - after Sep. 25
Staff/Student/Spouse
$175.00 - before Sep. 25
$195.00 - after Sep. 25
November 1, 2024
A Crash Course in CBCT Interpretation - Dr. Barett Andreasen
FULL DAY IN-PERSON - 8:30 AM - 4:00 PM
DSDS/ADA Member
$315.00 - before Oct. 22
$335.00 - after Oct. 22
NonADA Member
$415.00 - before Oct. 22
$435.00 - after Oct. 22
Staff/Student/Spouse
$175.00 - before Oct. 22
$195.00 - after Oct. 22


TOTAL REGISTRATION $0

 
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Delaware State Dental Society
892 Eichele Road
Perkiomenville, PA 18074-9510
Phone: 302-368-7634
Email: