2020 GSAHDA BOLD Application
Pre-dental membership into GSAHDA
Date of Birth
Mailing Address (street address, city, state, zip code)
Permanent Address (if different than mailing address)
Cell Phone #
Name of Current (or Recent) School
Post Graduate Program, if applicable
Date of Expected Graduation
Does your school have a pre-dental student chapter?
If yes, what is the name & contact info of your Faculty Advisor?
Survey Information (Optional)
What services would you like to obtain from HDA membership?
Are you willing to participate in community activities with GSAHDA?
How did you hear about GSAHDA?
Yearly Membership Dues: $25
Credit Card via Square Reader
Credit Card payment on
. Select "Make Donation" on homepage, then "Pre-Dental Membership."
Check payable to Greater San Antonio Hispanic Dental Association. Deliver to GSAHDA Officer or mail to P.O. Box 291224 San Antonio, TX 78229.
Thank you for your membership. We look forward to seeing you at our general meetings, socials, learning events, and community outreach events. Make sure to add Greater San Antonio Hispanic Dental Association on Facebook for the latest updates.
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