Annual Member Dinner

Our annual member dinner features a speaker and closes out our 2019-2020 session. Make plans to join us for cocktails, conversation, and fellowship with your dental peers.

RSVP required. Dentists are encouraged to bring their spouse/guest.

Cost: $50/person

Date
TBD in April

Location
TBH
6:30 p.m. for cocktails, followed by dinner

Dentist Name*
First Last
Name of Dental Clinic*
Preferred Phone*
Preferred Email*
Billing Address*
Street Address Address Line 2 City State ZIP Code
Purchase Options*
Total
$0.00
Credit Card

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
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