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Indian Dental Association of California
A Non Profit Organization: Providing
Quality C.E. Seminars For Over Two Decades

Proudly Presents Continuing Education Seminar on
:: CE Seminar: Interdisciplinary Approach On General Dentistry::
Featuring
Dr. Ashok Patel, D.D.S.
on
Sunday, February 10, 2008
9:00 AM to 5:00 PM
(AGD & CA Board - 7 hrs C.E Units)
At

:: Please make a note of of our new location ::
Sheraton Cerritos Hotel
12725 Center Court Drive, CA 90703
562.809.1500

:: Registration from (please print in capital letters) ::

First Name DR/RDH/RDA/DA: ___________________________________

Last Name: __________________________________ Middle Initial: _____

Address: _____________________________________________________

City: __________________________ State: ________ ZIP: ____________

Phone: ________________ Fax: ______________ Email: _________________

Registration Fee

IDA Members

Non Member

DH/RDA/DA/STAFF

Before 02/03/2008

$85.00

$110.00

$50.00

After 02/03/2008 & On-site

$105.00

$135.00

$65.00

* LUNCH NOT INCLUDED *

Cancellation Policy: 7 days prior to the Seminar, a one- time credit will be issued for the next seminar. No refund or credit thereafter. No refund or credits will be given, if cancelled within 7 days of the seminar.

Make checks payable to:
INDIAN DENTAL ASSOCIATION
Mail Registration with Payment to:
Indian Dental Association of California
4195 Chino Hills Pkwy., #522,
Chino Hills, CA 91709

For further information, people to call:
Alma/Jennifer (915) 532-2741
Dr. Kishore Shah (818) 899-2505
Dr. Dhaval Shah (909) 864-2002