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Step 1 : Registration for SEASON 5 - Module 2 USD 2000


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 ATTENTION!!!

DUE TO COVID-19 THIS CLASS HAS BEEN POSTPONED UNTIL FURTHER NOTICE. PLEASE CHECK BACK WITH US BY JANUARY 2021. THANK YOU VERY MUCH.


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 SEASON 5 (2019-2020) -  (FOR ORTHODONTIC RESIDENT CURRENTLY ENROLLED IN ORTHODONTIC PROGRAM.



METHODS OF PAYMENT

MASTER / VISA THROUGH PAYPAL (5% TRANSACTION CHARGE 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 SEASON 5 (2020) - Module 2 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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