NHDS Annual Meeting Registration

Registration

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ALL SESSIONS

Package includes 3 days of CE, breakfasts and lunches. Thursday, Friday and Saturday, May 17-19, 2012

Which sessions will you be attending? Brochure
Thursday Morning (pick one) Rachel Wall, RDH Dr. Tom Nabors Afternoon (pick one) Rachel Wall, RDH Dr. Tom Nabors Dr. Jerry Teplitz	Friday Morning (pick one) Dr. Corky Willhite Dr. Rod Kurthy Afternoon (pick one) Dr. Corky Willhite Dr. Jerry Teplitz	Saturday Morning (pick one) Corky Willhite (Hands-On Course) Mr Joseph Persichetti

THURSDAY

Full Day

Which sessions will you be attending? Brochure
Morning (pick one) Rachel Wall, RDH Dr. Tom Nabors Afternoon (pick one) Rachel Wall, RDH Dr. Tom Nabors Dr. Jerry Teplitz

Morning Only

Which session will you be attending? Brochure
Pick one Rachel Wall, RDH Dr. Tom Nabors

Afternoon Only

Which session will you be attending? Brochure
Pick one Rachel Wall, RDH Dr. Tom Nabors Dr. Jerry Teplitz

FRIDAY

Full Day

Which sessions will you be attending? Brochure
Morning (pick one) Dr. Corky Willhite Dr. Rod Kurthy Afternoon (pick one) Dr. Corky Willhite Dr. Jerry Teplitz

Morning Only

Which session will you be attending? Brochure
Pick one Dr. Corky Willhite Dr. Rod Kurthy

Afternoon Only

Which session will you be attending? Brochure
Pick one Dr. Corky Willhite Dr. Jerry Teplitz

SATURDAY

Morning

Mr. Joseph Persichetti

Morning Hands-On
($139 for all participants)

Entertainment & Family Options
GUEST MEALS ONLY (Breakfast and lunch - no CE)	No. of Persons
3 days @ $154 per person
2 days @ $104 per person
1 day @ $49 per person
EVENTS	No. of Persons
Thursday: Golf at Waukewan @ $105 per person (a NH Dental Society Foundation event)
Thursday: Game Night @ $69 per person
Friday Night: Foundation Dinner Dance @ $95 per person (Dinner and entertainment; cash bar -- benefitting the NHDS Foundation)