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Thank you for registering for the 2019 -- Nebraska Dental Assistants Annual session!  There is a two step process to complete your registration.

Step #1. Complete the following contact information in the registration table.

Step #2. Click on the appropriate Paypal Icon to complete your payment for your registration.

 

You will receive an confirmation email from Nebraska Dental Assistants Association within 48 hours of submission.   

 


 Step #1Complete the information below. Please be sure to indicate EACH day that you will be attending.  You will be automatically brought back to this page for payment.

Full name:
Telephone Number:
Email address:
Attending Thursday (yes or no):
Attending Thursday Lunch (yes or no):
Attending Friday (yes or no):
   
   
ADAA Number:

Step #2:

When automatically directed back after completing form above please click on the payment button correlated with your registration information.  

Member Registration:

Member - Thursday Only $115.00

Member - Friday Only $50.00

Member - Thursday & Friday $160.00


Life Member Registration:

Life Member - Thursday Only $105.00

Life Member - Friday Only $50.00

Life Member - Thursday & Friday $150.00

Non-Members Registration:

Non Member - Thursday Only $150.00

Non Member - Friday Only $60.00

Non Member - Thursday & Friday $210.00


For group registration or if you are not comfortable with registering online, a paper registration form can be requested at sroen@hotmail.com or cstuhr@southeast.edu.

Please follow directions on the registration form to submit payment postmarked by March 29, 2019.