Register - Advanced Dental Administration

Please use this Registration page for Venue meeting registration only.

Contact us to register for In-Office Training.

Registration – Dental Office Administration Course Venue Meeting Only

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This field is for validation purposes and should be left unchanged.

Name(Required)

First Last

Email(Required)

Phone(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Dental Practice Name (Type NONE if currently looking for a position)(Required)

Dental Practice Phone Number (Your number if currently looking for a position)(Required)

Your Position(Required)

Course Date(Required)

Course Location(Required)

Dental Office Administration Course(Required)

Price:

Credit Card(Required)

Total

YOU MAY SUBMIT PAYMENT NOW BY CREDIT CARD WITH YOUR REGISTRATION OR YOU MAY PRINT THE REGISTRATION FORM AND MAIL WITH YOUR CHECK TO:

ADVANCED DENTAL ADMINISTRATION
204 SCOTT LN.
KINGSTON, TN 37763

If submitting by mail, be sure to allow sufficient time for snail mail to arrive 2 weeks prior to the course date.

Refund in full will be given if registration is canceled 30 days prior to course date.

Refund at 50% will be given if registration is canceled from 30 days to 14 days prior to course date.

No refund will be given if registration is canceled after 2 weeks prior to course date.

PAYMENT IS DUE IN FULL 2 WEEKS PRIOR TO COURSE BY CHECK OR CREDIT CARD.

ALL REFUND REQUESTS AND CANCELATIONS MUST BE BY EMAIL AT contact@advanceddentaladmin.com.