Nierman CE Seminar Registration Form –
Diving into Dental Sleep Medicine Virtual Seminar

Pricing

Livestream 1st Attendee	Livestream 2nd Attendee	Livestream 3rd Attendee	30-Day Access (Includes 1 Livestream Registration)
$795	$395	$195	$1495

Diving Into Dental Sleep Medicine Virtual Seminar - 8 CE

Seminar Date*
Time:
6-9pm EST
Dentist Name*
First Last
Work Phone*
Email*
Time:
8-5pm PT
Dentist Name*
First Last
Work Phone*
Email*
Email*
Dentist Name*
First Last
Work Phone*
Attendee 1*
- Virtual Seminar: Livestream
- Virtual Seminar: 30-Day Access Pass (Includes Livestream)
Attendee Name*
Prefix First Last
Attendee 2
- Virtual Seminar: Livestream
Attendee Name 2*
Prefix First Last
Attendee 3
- Virtual Seminar: Livestream
Attendee Name 3
Prefix First Last
Attendee 1 - Replay*
- Virtual Seminar: 30-Day Access Pass
Promotion Code:
35% Off
Price: $0.00
$300 Off 2020
Price: $0.00
$300 Off
Price: $0.00
$400 Off
Price: $0.00
Total
$0.00
Credit Card Type*
Name as it appears on Credit Card:*
Credit Card Number*
Expiration Date*
CVV Code*
Billing Zip*
How did you hear about us?*
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Comments

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.

Nierman CE Seminar Registration Form –Diving into Dental Sleep Medicine Virtual Seminar

Pricing

Diving Into Dental Sleep Medicine Virtual Seminar - 8 CE

Nierman CE Seminar Registration Form –
Diving into Dental Sleep Medicine Virtual Seminar