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Register B-50

Step 1 : Registration for PACKAGE B - ADVANCED COURSE USD 2000

ATTENTION !!!
Make sure you're entering your email address correctly since Bioprogressive CE team will use the email address to communicate and provide an update to you.

REGISTRATION FOR PACKAGE B (THE ADVANCED COURSE FOR ORTHODONTIC RESIDENT CURRENTLY ENROLLED IN ORTHODONTIC PROGRAM) FOR 2016-2017

 

METHODS OF PAYMENT

MASTER / VISA THROUGH PAYPAL (5% TRANSACTION FEE MIGHT APPLIED) OR

WIRE TRANSFER TO FOUNDATION FOR MODERN BIOPROGRESSIVE ORTHODONTICS  ATTN : ADAM POLLACK (NO TRANSACTION FEE)

ACCOUNT NUMBER : 7529276920   WIRING ROUTING : 121000248

FOR DIRECT DEPOSIT USE ROUTING NUMBER : 102000076

SWIFT CODE : WFBIUS6SDEN

 

Step 1 : Registration for PACKAGE B - ADVANCED COURSE USD 2000

Your salutation / title such as Dr. Prof.
Your first name, exclude title or salutation
Your last name (and middle name)
Please provide VALID email address for sending any updates on CE
Street Address
City
State
Country
Zip Code
Home Phone (please include country code and area code)
Cellular Phone (please include country code and area code)
Work Phone (please include country code and area code)
Graduation Date from Orthodontic Graduate Training Program (or expected graduation date)
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Open the calendar popup.