SDTA 50th Annual Conference Registration Form
Deadline to Register: Friday, April 5, 2024
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Name *
Email Address *
Telephone Number *
Address *
Profession/s *
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What days will you attend? *
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Select the applicable conference package fee.  *
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Total Registration Fee you will be submitting: *
FREE PRE-CONFERENCE ACTIVITY: LIMITED SPOTS AVAILABLE, YOU MUST PRE-REGISTER BELOW!

Free Tour of the 'SIM to Care' simulators at the University of Saskatchewan College of Dentistry will be offered on Friday, April 26 from 9:00 am - 12:00 pm 
in one hour time slots.  

There is no charge, but sign-ups are limited to 14 people per time slot and will be first-come-first-serve.  You will receive confirmation of your assigned time slot and further information prior to the conference.  You MUST pre-register for this activity!!
*
Dietary restrictions *
Required
I understand that payment must be forwarded by e-transfer to sdtaconf@sasktel.net in order to confirm my registration.   We also accept cheques or money orders mailed to: SDTA Box 1114 Shaunavon, SK  S0N 2M0 made payable to 'SDTA Conference'.   *
Required
Requests for refunds will not be granted after the
Registration Deadline of April 5.  
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