150th Anniversary Festivities Secure Registration Form
Spanning April 17 to December 14, 2013

Three Easy Ways To Register

1. Mail to: DSDS, 200 Continental Drive, Suite 111, Newark, DE 19713
2. Fax to: 302-368-7669
3. Fill out this secure online registration form.


Doctor's Name:
Doctor's ADA Number:
Guest's Name:
Doctor's Address:
City:
State:
Zipcode:
Email:
(For reg. confirmation)
Phone:
Fax:
Home or Cell Phone:
(For emergency purposes)

Please check only those events that you will be attending:

CHECK Cost The Details of the Event
Complimentary April 17 - General Membership Dinner Meeting - Complimentary - Dover Downs Hotel, 6:00 PM - 9:30 PM
Complimentary April 25 - New Dentist Reception - Complimentary - Piccolina Toscana Restaurant - 6:30 PM - 8:30 PM. (for Dentists in practice 10 years or less)
Check here if guest is accompanying you.
Complimentary May 9 - 150th Annual Business Meeting & President's Reception - Complimentary - Hotel DuPont - 7:00 PM - 8:30 PM Meeting; 8:30 PM - 10:00 PM Reception.
Check here if guest is accompanying you.
May 10 - 150th Continuing Education Course featuring Dr. Gordon Christensen. Click to register directly on the Annual Session Registration Page.
May 10 - 150th Annual President's Dinner & Salsa Party - Wilmington Country Club - 6:30 PM - 10:30 PM. $65.00pp
August 8 - Blue Rocks Family Baseball Night - Club House tickets - Frawley Stadium - 6:00 PM - includes buffet. $35.00pp
September 20 - Barbeque & Beach Party - Henlopen Beach Club - Rehoboth Beach - 6:00 PM - 10:00 PM (adults only) DSDS Members complimentary; $20.00pp for spouse/guest
Complimentary September 28 & 29 - NASCAR Oral Health Days - Dover Downs Race Track - ADULT VOLUNTEERS ONLY
   Check here if you will volunteer at the DSDS Oral Health Booth on 9/28
   Check here if you will volunteer at the DSDS Oral Health Booth on 9/29
October 11 - 2013 CE SERIES - "Infection Control" - Dr. John Molinari - Chase Center on Riverfront - 8:30 AM - 4:00 PM. Click to register directly on the CE Series Registration Page.
Complimentary October 16 - Frank M. Hoopes Memorial Lecture & General Membership Dinner - Complimentary - Dover Downs Hotel, Dover.
   Check here if you will attend the afternoon Dentsply Caulk Facility Tour, Milford, DE - 2:00 PM – 3:00 PM
   Check here for Dinner & Lecture only only at the Dover Downs Hotel, Dover, DE - 6:00 PM - 9:00 PM
November 15 - 2013 CE SERIES - "Minimally Invasive Restorative Dentistry" - Dr. Raymond Bertolotti - Chase Center on Riverfront - 8:30 AM - 4:00 PM. Click to register directly on the CE Series Registration Page.
Complimentary November 20 - General Membership Dinner & Program - Complimentary - Sheraton Wilmington South, 6:00 PM - 9:30 PM
Complimentary December 14 - 150th ANNIVERSARY GALA PARTY - Complimentary - Delaware Art Museum, 7:00 PM - 10:00 PM.
Check here if guest is accompanying you.

TOTAL REGISTRATION $0

 
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Delaware State Dental Society
892 Eichele Road
Perkiomenville, PA 18074-9510
Phone: 302-368-7634
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