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MDS November Membership Meeting INVISALIGN ORTHOGNATIC SURGERY
PLEASE USE THIS FORM TO REGISTER FOR THIS EVENT.
The meeting will begin with a cocktail reception and a cash bar.
The meeting will be held from 6:30pm-9:30pm at The Stone Terrace,
2275 Kuser Rd, Hamilton, NJ.
OUR SPEAKER SHAHID AZIZ, DMD, MD, FACS
PROFESSOR, ORAL AND MAXILLOFACIAL SURGERY
RUTGERS UNIVERSITY SCHOOL OF DENTAL MEDICINE
Do you have any dietary restrictions? If so, please specify below (Kosher, vegetarian., etc..)
Membership (check all that apply):
I am a member of the Mercer Dental Society
I am not a member of the Mercer Dental Society, and I have attended past meetings. I will bring $55 dollars to the door, or pay via PayPal on the website.
I am not a member of the Mercer Dental Society, and this is my first meeting.
I am bringing members of my staff, and will bring $55 for each staff member
Names of additional registrants (if none, write "none")
If registering additional guest, please include their email address(es) below:
I understand that by submitting this RSVP I confirm that I will be in attendance. If I need to cancel, I must give 24 hours notice.
I do not agree
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