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Step 1 : Registration

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 A (THE TWO MODULE COURSE - FOR DENTISTS/ ORTHODONTISTS) ARE CURRENTLY CLOSED FOR SEASON 2015-2016. REGISTRATION FOR THIS PACKAGE IS FOR SEASON 2016-2017.

CURRENTLY 2015-2016 REGISTRATION ONLY ACCEPTING PACKAGE B (THE ADVANCED COURSE - MAINLY FOR ORTHODONTISTS OR DENTISTS WHO HAVE COMPLETED THE PACKAGE A COURSE PREVIOUSLY)

 

METHODS OF PAYMENT

MASTER / VISA THROUGH PAYPAL OR

WIRE TRANSFER TO FOUNDATION FOR MODERN BIOPROGRESSIVE ORTHODONTICS  ATTN : ADAM POLLACK

ACCOUNT NUMBER : 7529276920   WIRING ROUTING : 121000248

FOR DIRECT DEPOSIT USE ROUTING NUMBER : 102000076

 

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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Please specify your registration payment plan