By submitting this registration form I understand that $1695.00 will be billed to my credit card. This fee entitled me to attendance at the above course held at Essential Dental Seminars, 89 Leuning Street, S. Hackensack, NJ.

Cancellation Policy: Pre-registration is required. Payment is due at time of registration. Cancellations up to five full business days before the date of the seminar will incur a 5% cancellation fee. Later cancellations will incur a $125.00 fee. If notification of cancellation is not received 24 hours prior to the seminar, no refund will be issued. Essential Dental Seminars reserves the right to cancel any course at any time. If Essential Dental Seminars deems it necessary to cancel a course all registered participants will be notified and tuition fees will be refunded in full. All refunds are limited to the tuition fee. Tuition does not include travel, accommodations or armamentarium. Courses are limited to dentists only. Essential Dental Seminars is a division of Essential Dental Systems, Inc. Some of the products talked about during this course are manufactured and sold by Essential Dental Systems, Inc. Lecturers may be associated with Essential Dental Systems, Inc. Seating is limited. The first 20 dentists to register and receive confirmation will be in attendance. There will be at least 1 instructor per 6 attendees at each hands-on participation course.