Northland Dental Study Club
Registration  Please print this page and mail to the address below along with your payment
NORTHLAND DENTAL STUDY CLUB

Dr David Hornbrook
Hot Topics in Aesthetic and Restorative Dentistry
with Sponsorship help by: Gold Dust Dental Laboratory, AMD Lasers,
Ivoclar, Bisco, Brassler USA, Garrison Dental Solutions, Proctor & Gamble
Friday March 23, 2012  9:00 AM to 4:00 PM
Meeting rooms have a tendency to be chilly, please dress accordingly
SEMINAR LOCATION
West Branch Quality Inn Conference Center
2980 Cook Road
West Branch, Michigan 48661
(989) 345-3503
Located just off I-75 (exit 212) next to
Tanger Outlet Center
This 3/4 day seminar
featuring DrDavid
Hornbrook will earn 6 PACE
credit hours. Includes
Breakfast and a plated
luncheon.
Registration deadline:  March 16, 2012
Friday March 23, 2012 9:00 AM to 4:00 PM doors open at 8:30 AM
Open to all dental professionals        Doctors  $ 125.00     Non-doctor staff  $ 95.00
Please make your check out to Northland Dental Study Club
Send to: Northland Dental Study Club            Refund Policy: full refund of seminar fee for cancellations
              3561 W. M-55  P.O. Box 515              received 7 days or more prior to the event. If a seminar is
              West Branch, Michigan 48661           cancelled, full refunds for all paid attendees
Names & titles of those attending
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Names & titles of those attending
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PRESENTS
Friday March 23, 2012 9:00 AM to 4:00 PM breakfast starts at 8:30 AM