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Central ILAGD Presents: Dental Materials by Dr. Damon Adams

November 22, 2019 @ 8:00 am - November 23, 2019 @ 5:00 pm

SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF DENTAL MEDICINE
&
THE CENTRAL ILLINOIS ACADEMY OF GENERAL DENTISTRY
Presents:

Dental Materials

by Dr. Damon Adams

Course:

 

Speaker Bio:

MORE INFORMATION COMING SOON

 

 

Course Objectives:

 

CE Credits:

CE CREDITS:
(towards AGD Fellowship or Mastership)
8 hours of
Email: [email protected] for information

When & Where:

Southern Illinois University School of Dental Medicine

Hoag Hall Auditorium, Bldg. 283

2800 College Avenue

Alton, IL

Directions: Take I-55 North or South to the Alton exit #30, Route 140. (Route 140 becomes College Avenue)

PARKING: Available behind Hoag Hall, Lots A-3. No permit is necessary. Do not park in the clinic parking lot. You will be ticketed.

Hotel Reservations:

Hotel Reservations based on availability.  Identify
yourself as attending the Southern Illinois University
School of Dental Medicine AGD Programs.
Atrium Hotel (formerly the Holiday Inn)
3800 Homer Adams Parkway
Alton, Illinois
(618) 462-1220
Directions: Take 55 North or South to the Alton
Exit #30, Route 140. (140 becomes College Avenue)

Course Schedule:

Southern Illinois University School of Dental Medicine
FRIDAY, November 22, 2019
7:45 am Registration
8:00 am – 10:30 am Lecture in Hoag
Hall Auditorium (Bldg. 283)
10:30 am – 10:45 am Break and Discuss
12:00 pm – 1:00 pm Lunch and Learn with
the students
1:00 pm – 3:00 pm Lecture in Hoag Hall
Auditorium (Bldg. 283)
3:00 pm – 3:15 pm Break and Discuss
3:15 pm – 5:00 pm Lecture in Hoag Hall
Auditorium (Bldg. 283)
5:00 pm – 6:00 pm Set-up for Hands-on
7:30 pm – Dinner with seminar attendees &
instructor

Saturday, November 23, 2019

DEADLINE:

May register for lecture only. 11/22/19 hands-on
participation Limited space


 

Protocol Reporting Session
Thursday, November 21, 2019, at 7:30 PM
at the Atrium Hotel (formerly the Holiday Inn)
Restaurant Alton, IL
Call 309-692-1796 or Email
[email protected]
for reservations.


SEMINAR COSTS                                                   AGD/ADA                          NON-AGD/ADA
PUBLIC HEALTH
Dentist                                                                         $275                                                   $325
Staff (non-dentist) per day                                    $50                                                     $75
(must be accompanied by dentist)
SIU Instructors/Students 11/22/19 lecture             N/C                                                    $10*
only and 11/23/19 observation only.
Must be registered for seminar.
(Observation will be permitted at participation course (includes faculty/students) if course limit is reached, but costs and attendee numbers must be approved by the course master.)

Lunch is included in all day seminar cost.
*Includes 1 year AGD student membership
Non-Members: Join AGD and receive seminar at AGD member cost.
Contact Dr. Susan Bishop for information.

Refunds are available for courses, minus $50 processing fee, will be granted if requested at least ten days prior to the start of the course.

REGISTRATION FORM

Check appropriate line, or list number attending:

___AGD/ADA/Public Health Dentist                              $ _________

___Staff Member/AGD/ADA Dentist                              $ _________

___Non-AGD/ADA Dentist                                              $ _________

___Staff Member/Non-AGD/ADA Dentist                   $ _________

___SIU/SDM Student/Resident                                        $ _________

___SIU/SDM Faculty                                                          $ _________

TOTAL  $ _________

AGD/ADA No. _________________________________________

Total Number Attending __________________________________

Amount Enclosed _______________________________________

Check Number _________________________________________

(Make check payable to the Central Illinois AGD)

Name: ________________________________________________

Address: ______________________________________________

City, State, Zip _________________________________________

Business Phone: ________________________________________

Home Phone: __________________________________________

Fax/E-mail Address: ____________________________________

___In Office Protocol

___Please send me a new AGD member packet.

If more than one person is attending, please list their names on a separate sheet of paper.

Return by November 1 ,2019.

PAYMENT

Return the completed registration form and check payable to CIAGD to:

Dr. Susan Bishop

7314 N. Edgewild Dr.

Peoria, IL 61614

Email: [email protected] for information.


Implant Assisted Removable Brochure


Next CIAGD/SIUSDM Seminar:

For more IL AGD CE Courses please go to ILAGD.org


Details

Start:
November 22, 2019 @ 8:00 am
End:
November 23, 2019 @ 5:00 pm
Event Category:

Organizer

Dr. Susan Bishop
Phone:
309-692-1796
Email:
sbishop@peoriacounty.org

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