2022 Oda Annual Session Registration Form
1680392636
File Name: AS22-Reg-Form.pdf
File Size: 76.33 KB
File Type: Application/pdf
Last Modified: 9 months
Status: Available
Last checked: 4 days ago!
This Document Has Been Certified by a Professional
100% customizable
Language: English
We recommend downloading this file onto your computer
Summary
2022 ODA Annual Session Registration Form Registration Codes and Fees By 8/1 As of 8/2/22 Onsite A ODA member....................................................................$99.................................. $125.............................$125 B Non-member....................................................................$475................................ $500...........................$500 C ODA retired life................................................................. $0.................................... $62...............................$62 D ADA member (out of state).......................................$99.................................. $125.............................$125 DH Hygienist.............................................................................. $35...................................$45...............................$45Doctor Registrant (Print or Type) Only one form per office necessary EF EFDA..................................................................................... $35...................................$45...............................$45 DA Assistant.............................................................................. $35...................................$45...............................$45Dentist Name _________________________________________________ LT Lab tech............................................................................... $35...................................$45...............................$45 OM Office manager................................................................ $35...................................$45...............................$45Name of Practice ______________________________________________ RE Front office staff.............................................................. $35...................................$45...............................$45 SP Spouse (non-office staff)............................................. $0..................................... $0.................................$0Address _____________________________________________________ MC Minor Child.......................................................................... $0..................................... $0.................................$0 DS Dental Student.................................................................. $0..................................... $0.................................$0City __________________________ State _____________ Zip _______ DR Dental Resident................................................................. $0..................................... $0.................................$0 HS Hygiene Student............................................................... $0..................................... $0.................................$0 ST Other Students.................................................................. $5.....................................$15................................ $15Daytime Phone ________________________ Fax ___________________ Exhibits Only registration is available for Dentists, Hygienists, Assistants, EFDAs, Office Managers andEmail ___________________________________ ADA #______________ Front Office Staff but you must register online at www.oda.org
Name for Badge (print or type) License # Registration E-mail Address Courses/Events (if registering for a free course, enter “0” for the Fee) Total Fees Last Name, First Name Code Fee $ Code Fee $ Code Fee $ Code Fee $ Code Fee $12345 GRAND TOTAL $ Payment Method Registration Mailing Instructions Check or Money Order (Payable to 2022 ODA Annual Session) MAIL registration form to the address below, or for faster service, register Check #__________________ online at www.oda.org. Do not mail this form after August 25
Visa MasterCard American Express Discover You may fax forms to (678) 341-3086 until September 1
Credit Card #________-________-________-________ Exp. Date ______________ 2022 ODA Annual Session c/o Eleventh & Gather Billing Zip Code ______________ Security Code _________ 6840 Meadowridge Court Alpharetta, Georgia 30005 Signature _______________________ Print Name (on card)___________________ Questions? Call (678) 341-3049 RegForm2022
Front Office Staff but you must register online at www.oda.org. Registration Mailing Instructions MAIL registration form to the address below, or for faster service, register online at www.oda.org. Do not mail this form after August 25. You may fax forms to (678) 341-3086 until September 1. 2022 ODA Annual Session c/o Eleventh & Gather
Documemt Updated
Popular Download
Frequently Asked Questions
What is the oda annual session?
The 2022 ODA Annual Session will offer many opportunities for attendees to connect, learn and excel, including CE courses, new technology, exhibitor networking and special events. We are in the process of planning an Annual Session that is safe, fun, engaging and educational, and we are excited to welcome you back!
When is the ohio dental association 2022 annual session?
The Ohio Dental Association 2022 Annual Session will be held in person in Columbus, Ohio from September 15 -17, 2022 at the Greater Columbus Convention Center. The 2022 ODA Annual Session will offer many opportunities for attendees to connect, learn and excel, including CE courses, new technology, exhibitor networking and special events.
Whats new for the 2022 annual meeting?
Our 2022 Annual Meeting Planning Committee has added new safety precautions such as hand sanitizer stations throughout the building and other measures to ensure everyone’s safety. We will follow all current city and state mandates and CDC guidelines at the time of the event.
How do i book a room for the 2022 agm?
The group rate is available until Friday, Oct. 7, 2022, at 5:00 p.m. CT or until group rate is sold out. We recommend booking your hotel reservation online. You may also contact the hotel directly by calling (512) 474- 4777 and telling the representative you are booking a room for the 2022 American College of Prosthodontists Annual Meeting.