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2010 Registration Form Each course date listed below will be a one day lecture and participation course including skulls, models and instruments. Each class will be limited to 20 dentists. Gunnar Philipp, developer of the Ögram System, will be the speaker. To attend an upcoming course, please fill out the registration form below to register electronically or register by fax or phone. Tuition payment can be made by check, Visa or MC. Payment by check: submit a deposit of $350.00 for each dentist attending with the balance due payable by check at the course; or submit the full tuition amount. We must receive your check within 7 business days after your registration. Please include a copy of your registration form along with the check. Payment by credit card: call our office with the credit card information (940-382-8922). Written confirmation, with course location, will be mailed to you shortly after receipt of your registration and payment. Please call our office with any questions. Doctor Tuition: $595 Chairside Assistant/Auxiliary: $135 (highly recommended) Audit Fee: $395 (only for dentists who have previously attended our course) Registration: 8:00 am to 8:30 am Course time: 8:30 a.m. to 5:30 p.m. (course time 8 hours-participation) Lunch and course refreshments are included 8 Hours CE; Advanced PACE Program Provider: FAGD/MAGD Credit, State CE*; The Ögram Course CE Certificate; Course Syllabus
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