Meeting Registration


Early registration deadline is July 31st, 2009. The cost of the seminar will be $1050 per TDO doctor and $500 per spouse/staff member, if you register on or before July 31st. After this date the price will be $1150 per doctor and $550 per spouse/staff member. If you are a guest considering purchasing TDO, the registration fee will be $500. If you are a postgraduate resident, the registration fee will be $250.



If you are a guest or postgrad considering purchasing TDO and plan to attend on Saturday only, there is no charge for the meeting.

If you are a guest interested in attending the Thursday Scientific Session only, the charge will be $375.

Cancellation deadline is September 7th. If you cancel after September 7th, your registration fee is non-refundable.

 
* Required Fields
Are you only attending the Scientific Session on cone beam scanners
 
on Thursday, Oct. 1st, and not the training sessions on Friday and Saturday?
Are you a guest considering purchasing TDO?
Are you a postgraduate resident?
Number of Doctors:
* Doctor's Full Names
(First and Last)
 
Number of Spouse/Staff Members:
* Spouse/Staff Members' Full Names
(First and Last)
 
If spouse is listed above will they attend the TDO training classes?
Number of attendees for Thursday morning's Scientific Sessions
Number of attendees for Friday's Training Sessions
Number of attendees for Saturday's Training Sessions

Do you plan to attend the Open House on Thursday, October 1st from 1 to 5 p.m.?
If so, how many attending?
   

Will you attend the TDO Meeting Reception on Friday, October 2nd from 7 to 10 p.m.?
If so, how many attending?
(Non-registered attendee adult plate will be $130)
   


Practice/Billing Information
* Name:
   
* Street:
   
* City:
   
* State:
   
* Zip Code:
   
* Country:
* Your Phone:
   
Back Line Phone:
* Your E-mail:
   
Payment Information
* Method:
   
If paying by check, please make it payable to PERF and mail to:

Pacific Endodontic Research Foundation
6235 Lusk Blvd.
San Diego, CA 92121

If paying by credit card, please fill out the fields below.

For your security this information will not be stored in our servers and this transaction will be made through a secure connection. See the paddlock at the bottom of your web browser.

Credit Card Number:
   
Expiration Date (Month/Year):
/    
CID, if American Express. Typically it is a 4-digit number located in front of the card by the main numbers.