PDI Course Registration

Please complete the Course Registration information below and click Submit, We assure you that the transmission of the form below is encrypted with the same level of security used by banking institutions for online transactions. You may also click the link for the PDF version of the PDI Course Registration Form if you wish to either mail or fax the form to us.

 

Street Address
Town/City State/Province
Postal/Zip Code Country
Email Address
Register me for the following course:
I learned about this course by:
My specialty is:
Credit card number
Card card type
3 digit security code
Cancellation Policy:
Confirmed registrants unable to attend may obtain a refund (less a $100 admin fee) by notifying PDI no later than three weeks prior to the course start date. Cancellations two to three week prior will be refunded 50% of the full course fee. Cancellations of less than one week and "no shows" are not eligible for a refund. Cancellations for individual sessions will not be refunded. In certain circumstances the tuition may be credited towards the next class.

PDI reserves the right to cancel a course with the full fee refunded. Should PDI find it necessary to cancel an individual session, we will reschedule that session or refund the appropriate percentage of the full fee. PDI is not responsible for expenses incurred by the registrant.
My question or comment is ...

 



Home | Dr. Sorensen | Education | Faculty | Study Clubs | Pacific Dentlal Arts Studio | Contact Is
Participants Cases and Testimonials | Where in the World is Dr. John? | PDI Research/What's New | PDI Store

Telephone: 503-639-5136 | Fax: 503-620-0187
Mail: PDI, 12750 S.W. 68th Ave., Portland, OR 97223
Email: ce@pacdent.com

© 2010 Pacific Dental Institute. All Rights Reserved. Powered by DDS.com.