Registration Form

Diving Into Dental Sleep Medicine

Seminar Date*
Time:
Day 1: 8am-5pm
Dentist Name*
First Last
Work Phone*
Email*
Attendee 1*
- Virtual Seminar: Livestream
- Virtual Seminar: 30-Day Access Pass (Includes Livestream)
Attendee Name*
Prefix First Last
Promotion Code:
Product Name
Price: $0.00
Total
$0.00
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Refund and Cancellation Policies:

All cancellations are to be made in writing. Registrations may be refunded at 100% if canceled within the first 24 hours of registration. Attendees can transfer their registration to another course one time without penalty up until 10 days prior to the course. Within 10 days of the course, a 20% penalty to transfers will be applied.