• Dental Education

  • If you are a CDS member, please login to enable your member discount.

    CDS Regional Meeting Pre-Registration

    Meeting Registration
    Step 1: Membership type
    Member Type:

    NOTE: Non-CDS Members will be charged $250

    NOTE: Members do not have to attend in order to register staff at member rate.

    Step 2: Registrant Information
    Prefix:
    First Name: *  
    Last Name: *  
    Email: *    
    Address Line 1: *  
    Address Line 2:
    City: *  
    State: *
    Select '--Other--' if not applicable
    Zip Code: *  
    *Country:
    Phone: *
    (111-222-3333)
       
    Registrant will be attending event?:
    Step 3: Additional Attendees
    Additional Attendees: