Registration Form 2010 Annual Session

North Dakota Dental Association - September 15th -18th at the Holiday Inn, Riverside, Minot North Dakota (One person per form)

Event ID*	North Dakota Dental Association 2010 Annual Session
Name*
Phone*
Email*
Dentists
(Members of NDDA)(Includes Membership Luncheon and all Scientific Sessions except workshop; please sign up below)
Retired NDDA Life Members and Dental Students
Non-NDDA/ADA and Non-CDA Member Registration
(Includes open seminars and exhibits.)
ADA/CDA Dentists
Mixer Tickets
Hygienists, Assistants and Office Staff
Hygienists and Assistants who register at their respective state meetings DO NOT REGISTER on this form, your meeting badge will be honored at the NDDA Seminars and Exhibits. (NDDA Exhibits and Seminars only

NDDA Golf Outing

The Golf Outing will be hosted this year by the North Dakota Dental Association. It will be held at Minot Country Club Golf Course in Minot, on Thursday, September 16 at 1:00 p.m. Please plan on joining us for an afternoon of fun and golf!

The cost is $70.00 which includes green fees, cart, many great prizes and a post golf social. It will be a 1:00 p.m. shotgun start.

MAKE CHECKS FOR GOLF OUTING PAYABLE TO ND DENTAL ASSOCIATION (Mail with meeting registration.)

Golf

Submit your Registration

MAKE CHECK PAYABLE TO NDDA ANNUAL SESSION (IN U.S. FUNDS ONLY). Send registration and payment by September 1, 2010 to:

North Dakota Dental Association
P. O. Box 1332
Bismarck, ND 58502-1332