Registration for CNY Implant Study Group

Fill out this form to register for CNY Implant Study Group
At least 7 characters please!
American Express

9 Credits. AAID is recognized by ADA CERP / AGD PACE as a provider of continuing education.

Dentist: $535.00 Non-AAID Member (All 3 sessions)
$485.00 AAID Member (All 3 sessions)
*An AAID member is an individual that appears in the 2014-2015 directory.
Resident: $265.00 (All 3 sessions)
Hygienist, Assistant, Secretary: $90.00 (All 3 sessions)

Fee for Individual Sessions – $270.00

After filling out the form below, please contact Judy at 315.724.5141 to confirm payment with Judy.

Dr. Jackson reserves the right to cancel or reschedule meetings at any time.
Refunds will be honored up to 45 days prior to session.