Countinuing Education for Bioprogressive

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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

Salutation

Your salutation / title such as Dr. Prof.

First Name

Your first name, exclude title or salutation

Last Name

Your last name (and middle name)

Email Address

Please provide VALID email address for sending any updates on CE

Street Address

City

State

Country

Zip Code

Home PH

Home Phone (please include country code and area code)

Cellular PH

Cellular Phone (please include country code and area code)

Work PH

Work Phone (please include country code and area code)

Graduation Date from Orthodontic Graduate

Graduation Date from Orthodontic Graduate Training Program (or expected graduation date)

Course Payment Plan

Please specify your registration payment plan

SEASON 2016-2017 OF PACKAGE A - THE TWO MODULE COURSE OF US$ 6000

SEASON 2015-2016 OF PACKAGE B - ADVANCED COURSE OF US$ 4000