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Name:
e-mail:
Phone number:
Address:
Courses for 2008
:
Attending
Date:
Time:
Program Title:
Speaker Name:
Coupon:
Yes
DDS/DMD
Thursday,
September 18th
6pm
Joint Meeting with San Mateo
Dental Society
TBD
Please list guest(s) that will be in
attendance, their titles and
license numbers (if applicable):
Staff Appreciation Day
Tution:
with coupon:
Will you be using a coupon?
without coupon:
yes
no
guest:
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Lori Reed
No
DDS/DMD
Friday,
October 3rd
9am-12pm
"Something for the Staff":
Telephone/Receptionist Etiquette
Please list guest(s) that will be in
attendance, their titles and
license numbers (if applicable):
Staff Appreciation Day
Tution:
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8am -4pm
Peter Jacobsen, DDS
Yes
DDS/DMD
Friday,
October 24th
Dental Pharmacology
Annual Membership Meeting
Please list guest(s) that will be in
attendance, their titles and
license numbers (if applicable):
Tution:
with coupon:
Will you be using a coupon?
without coupon:
yes
no
guest:
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