*
Title:
Dr.
Mr.
Ms.
*
Last Name:
*
First Name:
MI:
*
Email:
Alternate Email:
*
Registrant Status:
*
Street Address:
*
City:
*
Country:
*
State/Province:
*
Postal Code:
*
Phone Number:
Type of Practice:
*
Type of Practice Other:
Dental School Attended:
*
Year of Graduation:
*
How did you learn about this course?
Promotional Code:
*
Yes, I would like to receive email alerts about courses
Yes, I would like to sign up for print copy
Cancellations and Refunds
GSDM will grant refunds for all cancellations received within 15 days prior to the course date.
GSDM will retain a $25 cancellation fee for any course under $250 and $50 for any course over $250.
GSDM will grant a full refund if the School must cancel a course due to unforeseen circumstances. The School will try to contact all registrants at the time of course cancellation. GSDM is not responsible for reimbursement of a non-refundable airline ticket or other travel arrangements if a course is cancelled.