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Quality, Anesthesia Continuing Education Programs for the Discerning Dental Practitioner! |
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Generic Registration Form for Any Sedation Program |
| Step 1: | > | Select Program | > | You may select main categories at the top of each page or click on course locations on the left of the main page, or click on any "Upcoming Programs" seen below |
| Step 2: | > | View | > | Once viewing a specific course, print and fill out the registration form for that course |
| Step 3: | > | Fax, Mail or Call | > | Either FAX the registration form to 972-961-0284; or MAIL the form to AESF, 14742 FM 981, Blue Ridge, Texas 75424; or CALL Dr. Canfield at 214-384-0796 for credit card phone registrations. |
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Fax This
Registration to 972-961-0284 or call Dr. Canfield at 214-384-0796 for credit
card phone registrations |
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Program Name________________________________ Program Date:___________________
Name______________________________
Address ___________________________________ City_________________________________
State____________ Zip Code_______________ Phone
#_________________________ Fax #________________________ Fee Paid _______ Credit Card #: _____________________________ Exp Date: _______ Secure Code _____
Degree(s)_________ Specialty ___________ E-mail address:_________________________ |
| Course Locations: | UPCOMING PROGRAMS: |
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Anesthesia
Education and Safety Foundation CE Registration Information, Certifications
& Cancellation/Refund policy: Call us at 1-214-384-0796 to register. Fax any registration form to 972-961-0284. E-Mail Contact: You may contact us by e-mail at sedationce@aol.com. Web site address: http://www.sedationce.com Registration
form mailing address: AESF, 14742 FM 981; Blue Ridge, Texas 75424 REGISTRATION
CANCELLATION: Please notify us in writing no later than 48 hours before
the course commences (in the form of an
e-mail or phone call. |
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Anesthesia Education & Safety Foundation, Inc. is designated as an Approved PACE Program Provider by the Academy of General Dentistry. The formal continuing education programs of this program provider are accepted by AGD for Fellowship, Mastership and membership maintenance credit. Approval does not imply acceptance by a state of provincial board of dentistry or AGD endorsement. The current term of approval extends from 8/1/2011 to 7/31/2014. Provider ID# 217924. |
Generic Registration Form
