Please complete the following and mail or fax to:
The Dental Implant Learning Center at Englewood Dental
370 Grand Avenue, Suite 200
Englewood, NJ 07631
Attn: Lisa McCabe, Education Coordinator
City, State, Zip ____________________________________________
E-mail Address ________________________________________
Please Indicate: Master Card Visa American Express
Exp. Date _______________Total to be charged ________________
FEE: $1995.00 per doctor
This Zimmer Hands On Weekend Tuition Includes: 3 days of intensive course, all learning materials, scrubs provided, daily lunch and welcome dinner party. Tuition does not include transportation to and from hotel and hotel fees.
Refund and Cancellation Policy:
Cancellations made less than 2 weeks prior to the course are subject to $200 administrative fee.
Checks payable to: The Dental Implant Learning Center at Englewood Dental