Doctor Registration, Pennsylvania Association of Orthodontists

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Doctor Registration

PAO 53nd ANNUAL MEETING

Date: Friday and Saturday, June 21st & 22nd, 2019
Location:Liberty Mountain Resort
78 Country Club Trail, Carroll Valley, PA 17320
(T) 717-642-8282

Mail Checks to:
Pa. Association of Orthodontists
PO Box 96
Green Lane, PA 18054-0096
Payable To: PA Association of Orthodontists

Download the Doctor Registration Form and mail it to address above.

Late Registration Fee of $25 must be added to your registration from May 28th on.

PAO 53nd Annual Meeting - On Line Doctor Registration

Registration Type

Please Select One:

ALL ATTENDEE'S SOCIAL EVENT

Option – P.A.O. Social Event is $75 adult and $25 for kids
P.A.O. Social Event – Everyone is Invited! Friday 6:00
Members, residents, spouses, families, staff and friends are welcome!
Make some new and visit with some old friends!
A Casual and Fun Event!

Number of Adults Attending ($75/ea):
Number of Children Attending ($25/ea):

Contact Information

Doctor's Name:
Spouse:
Children Names/Ages:
Staff or Guest
Staff or Guest (Additional):
Address, City, State & ZIP:
Email:
Phone:

Registration Fees:

Enter Total (Meeting plus President’s Event):

Please enter any two digits with no spaces (Example: 12) *

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