NMDA Registration Kit 2020

14 2020 Fiesta NMDA May 28–30, 2020 New Mexico Dental Association is an ADA CERP Recognized Provider Before Registering essing your registration. gistering. Include appropriate fee according an an emailf ro each registratant. ved in full. eive CE credit. Dentists may only register as dentists. r to pay member prices. rds. you register both by mail and online, you may be registered twice Ticketed Events Table Course/Event Day Fee 1 Dental Professional Liability Risk Mgmt. Thursday $0 2 Your Personal Questions Answered by Gordon! Friday $0 NMDA is a certified ADA Cerp provider NMDA is a certified ADA Cerp provider 2020 VIRTUAL FIESTA NMDA Registration Rules & Guidelines Registration Rules & Guidelines - Please Read Carefully Before Registering Please type or print clearly. Errors lead to delays in processing your registration. Select registration category and code for each person registering. Include appropriate fee according an an emailf ro each registratant. Registration will not be processed until payment is received in full. Ticketed events are on a first-come, first-served basis. An Attendee registered as a “Guest” is not eligible to receive CE credit. Dentists may only register as dentists. NMDA / ADA 2020 membership must be current in order to pay member prices. Please keep a copy of the registration form for your records. Register by mail, fax or on-line. Register only once. If you register both by mail and online, you may be registered twice and charged twice! Check out and register for ticketed events!! Registration Categories Cod Type Reg. Fee A NMDAMember $195 B ADAMember $195 C Non-Member $495 D Hygienist $95 E Dental Assistant $95 F Technician $95 g Business Staff $95 I Public Health/Gov’t (non Mem- ber) $285 J Guest - Spouse (non dental) or Child - (not eligible for CE) $20 K NMDA Retired Member $155 L NMDA Life Member $0 M ADA Retired Member $155 N Military Personnel $100 S Student (not working) $20 Ticketed Events Table Course/Event Day Fee 1 Dental Professional Liability Risk Mgmt. Thursday $0 2 Your Personal Questions Answered by Gordon! Friday $0 NMDA 2020 VIRTUAL FIESTA N DA Registration Rules & Guidelines Registration Rules & Guidelines - Please Read Carefully Before Registering Please type or print clearly. E rors lead to delays in proce sing you registration. S lect registration category and code for each person registering. Include a propriate f e a cording an an emailf ro each registr tant. Registration will not be proce sed until payment is received in full. Tick ted events are on a first-come, first-served ba is. An Attend e registered as a “Guest” is not eligible to receive CE credit. Denti ts may only register as denti ts. NMDA / ADA 2020 membership must be cu rent in order to pay member prices. Please k ep a copy of the registration form for you records. Register by mail, fax or on-line. Register only once. If you register both by mail and online, you may be registered twice and charged twice! Check out and register for ticketed events!! Registration Categories Code Type Reg. F e A NMDAMember $195 B ADAMember $195 C Non-Member $495 D Hygienist $95 E Dental A istant $95 F Technician $95 g Busine s Staff $95 I Public Health/Gov’t (non Mem- ber) $285 J Guest - Spouse (non dental) or Child - (not eligible for CE) $20 K NMDA Retired Member $1 5 L NMDA Life Member $0 M ADA Retired Member $1 5 N M litary Perso nel $1 0 S Student (not working) $20 Ticketed Events Table Course/Event Day F e 1 Dental Profe sional Liab lity Risk Mgmt. Thursday $0 2 Your Personal Questions Answered by Gordon! Friday $0 NMD TUAL FIESTA NMDA Rules & Guidelines ules & Guidelines - Please Read Carefully Before Registering r print clearly. Errors lead to delays in processing your registration. ation category and code for each person registering. Include appropriate fee according an an emailf ro each registratant. will not be processed until payment is received in full. nts are on a first-come, fi st-served basis. registered as a “Guest” is not eligible to receive CE credit. Dentists may only register as dentists. A 2020 m mbership must be current in order t pay m mber prices. a copy of the registration form for your records. mail, fax or on-line. Register only once. If you register both by mail and online, you may be registered twice d twice! nd register for ticketed events!! Registration Categories Reg. Fee AMember $195 Member $195 Member $495 nist $95 Assistant $95 ician $95 ess Staff $95 Health/Gov’t (non Mem- $285 - Spouse (non dental) or - (not eligible for CE) $20 A Retired Member $155 A Life Member $0 Retired Member $155 ry Personnel $100 nt (not working) $20 Ticketed Events Table Course/Event Day Fee 1 Dental Professional Liability Risk Mgmt. Thursday $0 2 Your Personal Questions Answered by Gordon! Friday $0 NMDA is a certified ADA Cerp provider

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