$5
of your registration fee will be donated to TX HY-PAC unless you make a NOTE
within you PayPal payment or check this box when printing On-Line
Registration
Payment Options
If paying by CHECK-Mail:
Make checks
payable to: GHDHS (Greater Houston Dental Hygienists’
Society)
Please PRINT & mail your registration form and remittance to:
GHDHS
c/o Susan Fuller Johnson, RDH, BSDH
28397 May Road Splendora, Tx 77372
For more information contact Nisa Hashmani at 281-948-7558 or
Susan at 281-399-1636 or Email:
GHDHSCE@gmail.com
---------------------------------------------------------------------------------------------------------------------------------
If
paying by credit card:
You still must mail in this fillout page (registration form) to above address, but can pay
online to insure early registration price. Confirmation will be sent via
email.
Click on one of the links below. PLEASE BE SURE YOU ARE UNDER THE CORRECT DATE. If paying for more then one person, simply fill out a new Form and Paypal will keep a running tally of registrations in a "shopping cart" until you are ready to Check-out. You can click on "Continue shopping" on the next screen and it will redirect back to this page. For error issues or questions, please contact the webmaster at sbassrdh@gmail.com or 281.980.8524. Thank you!
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Practical Pharmacology: New Perspectives on
Presented by Arthur H. Jeske, D.M.D., Ph.D This evidence-based course provides participants with an up-to-date look at a variety of drug classes which impact the practice of dental hygiene, including over-the-counter herbal medications, new local anesthetics, antibiotics and antibiotic prophylaxis, and pain control. Emphasis will be placed on appropriate precautions when treating patients taking various drugs and on the safe and effective prescription and administration of drugs in the dental practice.
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Friday, October 24, 2008 6 credit hours |
Sheraton
Westin Hotel (near Galleria) (713) 586-2444
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Registration Form-Fill out/ Print/ Return
Check one: □ RDH □ DDS □ DA □ Office Staff
Name: ______________________________________ ADHA Membership #:
____________
Address: ___________________________ City: ___________ State:______ Zip
Code: ______
Home Phone#: _________________ E-mail address:
_________________________________
(Confirmation by email only)
Please circle course(s) attending
and note Payment type here for printed registration:
Check / Paypal / Cash or Money Order at the Door
Postmarked By October 17, 2008, 2008:
| RDH ADHA Member Registration: $95 | Non-Member Registration: $140 |
Postmarked October 18, 2008 or After:
| RDH ADHA Member Registration: $110 | Non-Member Registration: $155 |
$5
of your registration fee will be donated to TX HY-PAC unless you make a NOTE
within you PayPal payment or check this box when printing
GHDHS
Accepts Checks, Money Orders or Credit Cards (for credit cards payments go to
www.ghdhs.org
click on CE courses and follow instructions for Pay pal).
Credit cards will not be accepted after October 18,,
2008 or at the registration site.
Cancellation must be made by October 21, 2008 and requires a written notice.
All refunds are subject to a $25.00 fee.
No refunds will be given after
October 22, 2008, No exceptions.
A $5 fee will be charged for any changes made to your registration after
October 22 2008. All refunds will be mailed after the CE.