Email:
Last Name:
Title:
Badge Name:
Guest/Staff Name:
Guest/Staff Title:
Guest/Staff Badge Name:
Address:
  City:   State:    Zip:   Country:
Phone:
 
Meeting Application Payment:  
ACCD Member Dentist $1395
Non-ACCD Member $1765
Staff with or without Doctor $675
Spouse/Guest
(meals and all evening events only)
$450
Additional Dinner/Show tickets
(For Non-registered Attendees)
$135
 

Patterson $1,000 voucher can be used        Must submit original with registration

All registrations include: Wednesday-Welcome Reception, Friday-President's Dinner/Show, Thurs, Fri and Sat-Breakfast, Lunch and Exhibit Hall Socials.

EARLY REGISTRATION (before October 3, 2008) save $100.00

Hotel Information:
Loews Coronado Resort & Spa
Ph: 619.424.4000
*Inform the hotel that you are booking for the ACCD to get
the discounted rate of $239.00 plus tax.

 
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