REGISTER FOR THE 6-DAY DENTAL IMPLANTS

ADIS COURSE in Clifton New Jersey

Registration Process

Schedule a telephone interview by calling (657) ADIS-4-ME.
A non-refundable minimum deposit of $1,000 is required during registration to reserve your space.
Please complete the registration form provided below.

REGISTRATION FORM

Name, as you want it to be on your certificate

Best (Mobile) Phone Number

Degree or Diploma, Instruction

Work Phone Number

Data Granted

Email

Postgraduate Qualifications

Best time to contact you

Address

City

State

Country

Zip Code

A Photo: 4x6, Selfie is ok

A Copy of your Current License

A Copy of your Diploma

A Copy of Your Malpractice Insurance

Choose the Course Dates

April 4, 5, 6, 2024 and June 6, 7, 8, 2024

Course Reserved. June 27-29, 2024 and August 8-10, 2024

Contact ADIS for availability: September 21-23, 2024 and November 9-11, 2024

Check

I have notified my malpractice insurance.

Check

I agree to receiving marketing and promotional materials

Digital Signature: I agree to use electronic records and signatures.

Today's Date

Disclaimer: No administration, advisory committees, or course faculty members of the AAIP or ADIS have any financial relationships with businesses or products utilized in our continuing education courses. This ensures the integrity and impartiality of our training programs.

CANCELLATION POLICY

If you cannot attend the course after registering, you must notify us in writing no later than 45 days before the course. $1,000.00 cancellation fees will be charged for the canceled New Jersey course. NOTE: ADIS reserves the right to modify the course content, faculty, and meeting location and reserves the right to cancel a program if necessary.

Registration Process

REGISTRATION FORM

Disclaimer: No administration, advisory committees, or course faculty members of the AAIP or ADIS have any financial relationships with businesses or products utilized in our continuing education courses. This ensures the integrity and impartiality of our training programs.

CANCELLATION POLICY

DENTAL IMPLANTS CONTINUING EDUCATION COURSES

ARE YOU READY TO TAKE YOUR
PRACTICE TO THE NEXT LEVEL?

Phone Number

Phone Number

Location

© 2009-2024 ADISeminars. All Rights Reserved.

Registration Process

REGISTRATION FORM

Disclaimer: No administration, advisory committees, or course faculty members of the AAIP or ADIS have any financial relationships with businesses or products utilized in our continuing education courses. This ensures the integrity and impartiality of our training programs.

CANCELLATION POLICY

DENTAL IMPLANTS CONTINUING EDUCATION COURSES

ARE YOU READY TO TAKE YOUR PRACTICE TO THE NEXT LEVEL?

Phone Number

Phone Number

Location

© 2009-2024 ADISeminars. All Rights Reserved.

ARE YOU READY TO TAKE YOUR
PRACTICE TO THE NEXT LEVEL?