Doctor’s Name*
Telephone*
Email*
# of Attendees*
Name of Practice
Address
City
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Select Seminar(s)
6/22/2010(6:00pm-8:00pm) - Ivoclar E-Max at Baumgart’s Cafe - Ridgewood, NJ -
Free
6/8/2010(6:00pm-8:00pm) - Ensure That Your Office is OSHA Compliant at Baumgart’s Cafe - Ridgewood, NJ -
$30 for first attendee, $10 for each additional
5/26/2010(6:00pm-8:00pm) - Avoiding Dental Liability at Vintage Restaurant - White Plains, NY -
$30 for first attendee, $30 for each additional
