Know Numbers, No Fear Training Course from Dental Consultants Castagna & Moore



REGISTRATION FORM:
"KNOW NUMBERS, NO FEAR" Training Course
Chicago, Illinois


For Consultants: August 17-18, 2010, Tuesday-Wednesday
For Practice Administrators (PA): August 19-20, 2010, Thursday-Friday


Course location: The Whitehall Hotel, 105 East Delaware Place, Chicago, IL 60611. (Right off Michigan Avenue!) Be sure to mention The Practice Source or The Consulting U when booking your room to receive our special rate.

Rooms: Rooms are being held at The Whitehall for our students. To reserve your room please call: 312/573-6389 or 1-800-948-4255 (outside IL only). 

Course hours (for both courses):

Day 1
8:00: Registration
8:30 - 4:30: Course

Day 2
8:00 - 1:00: Course

Note: If you will be flying out of Chicago on Day 2, please do not book a flight before 3:30 - thank  you!

Informal Reception
Please plan to join us for an informal reception at The Whitehall on the evening of Day 1 of your course
Consultants: August 17th, 5:00-6:30
Practice Administrators: August 19th, 5:00-6:30

If you prefer to register by fax, please send the information requested below to: 530-527-1568. 

ONCE COMPLETE (and before hitting the Submit Form button below), PLEASE PRINT AND SAVE A COPY OF THIS REGISTRATION FORM FOR YOUR RECORDS. THANK YOU.
 
Course you will attend:
 Consultants: August 17-18th
 Practice Administrators: August 19-20th
Consultant or PA Name:
Doctor Name (if applicable):
Add'l Name/Title:
Add'l Name/Title:
Address:
City/State/Zip
Tel:
Email:
Fees for Consultant Course:
 $995
 
 $497.50: Layaway Plan, 2 equal monthly payments before August 10th
 
 $595: TCU Alumni/Students
 
Fees for Practice Administrator Course:
 $845: AADOM Webinar Attendees, July 14, 2010
 
 $1300: AADOM Webinar Attendees with Doctor
 
 $895: AADOM Members
 
 $1400: AADOM Members with Doctor
 
 $995: Practice Administrator Only
 
 $1500: Practice Administrator with Doctor
 
 $595: Each additional Attendee, eg Spouse, Accountant or Staff Member
Card Type:
 Amex
 Visa
 Mastercard
Name on card:
Card Number:
Exp Date:
Billing Address:
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