| 101 Technology Pearls for Dentistry | Presented by Steven Seltzer, MBA |
| Wednesday May 20, 1998 9 AM to 4:30 PM | Pines Manor Restaurant, Edison NJ |
| MCDS members and all NJDA members | $75- @ #______ | = $ ______________ |
| MCDS and all NJDA Dental member Staff | $50- @ #______ | = $_______________ |
| Non-member MCDS and NJDA Dentists | $150- @# ______ | = $_______________ |
| Non-member MCDS and NJDA Staff | $100- @# ______ | = $ _______________ |
| Total Enclosed | = $ _______________ |
Office Name ..............................................................................................................................................
Office Address .........................................................................................................................................
Office phone # ............................................... Office FAX # ...............................................
| Name [ Dentists & Staff attending ] | title | license # | ADA # |
Please REGISTER by May 11, 1998
Make CHECKS payable to: MIDDLESEX COUNTY DENTAL SOCIETY
QUESTIONS ?? call Donna L., c/o Dr Philip Engel, 732-247-8083
Mail and Return to: MCDS SELTZER SPRING PROGRAM attention DONNA L.
Dr. Philip Engel, 109 Livingston Avenue, New Brunswick, NJ, 08901