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Registration Form
February 18-19, 2023
San Antonio, Texas
Contact:
(ALOA) Dr. Maria Karakousoglou | 210 929 7450 | maria@karakousoglou.gr or
(Residents) Dr. Belal Heddaya | 206 849 5659 | belal.heddaya@gmail.com
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Name (LastName, First Name)
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Your answer
Contact phone number
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Your answer
Will be attending as
If you are interested in becoming an ALOA member ($99 annual membership) follow this link:
BECOME A MEMBER OF ALOA
- $
*
Orthodontic Resident (Free)
Full Time Faculty (Free)
Orthodontist - Member of ALOA - UT Health Alumni - $350
Orthodontist - Non member of ALOA ($595)
Staff ($295)
Predoc student ($25)
Other:
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