BEGIN:VCALENDAR VERSION:2.0 PRODID:-//Illinois Academy of General Dentistry - ECPv6.15.20//NONSGML v1.0//EN CALSCALE:GREGORIAN METHOD:PUBLISH X-WR-CALNAME:Illinois Academy of General Dentistry X-ORIGINAL-URL:https://ilagd.org X-WR-CALDESC:Events for Illinois Academy of General Dentistry REFRESH-INTERVAL;VALUE=DURATION:PT1H X-Robots-Tag:noindex X-PUBLISHED-TTL:PT1H BEGIN:VTIMEZONE TZID:America/Denver BEGIN:DAYLIGHT TZOFFSETFROM:-0700 TZOFFSETTO:-0600 TZNAME:MDT DTSTART:20190310T090000 END:DAYLIGHT BEGIN:STANDARD TZOFFSETFROM:-0600 TZOFFSETTO:-0700 TZNAME:MST DTSTART:20191103T080000 END:STANDARD BEGIN:DAYLIGHT TZOFFSETFROM:-0700 TZOFFSETTO:-0600 TZNAME:MDT DTSTART:20200308T090000 END:DAYLIGHT BEGIN:STANDARD TZOFFSETFROM:-0600 TZOFFSETTO:-0700 TZNAME:MST DTSTART:20201101T080000 END:STANDARD BEGIN:DAYLIGHT TZOFFSETFROM:-0700 TZOFFSETTO:-0600 TZNAME:MDT DTSTART:20210314T090000 END:DAYLIGHT BEGIN:STANDARD TZOFFSETFROM:-0600 TZOFFSETTO:-0700 TZNAME:MST DTSTART:20211107T080000 END:STANDARD BEGIN:DAYLIGHT TZOFFSETFROM:-0700 TZOFFSETTO:-0600 TZNAME:MDT DTSTART:20220313T090000 END:DAYLIGHT BEGIN:STANDARD TZOFFSETFROM:-0600 TZOFFSETTO:-0700 TZNAME:MST DTSTART:20221106T080000 END:STANDARD END:VTIMEZONE BEGIN:VEVENT DTSTART;TZID=America/Denver:20210424T080000 DTEND;TZID=America/Denver:20210425T170000 DTSTAMP:20261114T055125 CREATED:20201012T174345Z LAST-MODIFIED:20210311T183123Z UID:12738-1619251200-1619370000@ilagd.org SUMMARY:ILAGD Fellowship Exam Review Course - Dr. Larry Willaims DESCRIPTION: Zoom Virtual Meeting/Webinar \nIllinois AGD Presents:\nFellowship Exam & General Dentistry Review Course\nApril 24-25\,2021\nSpeaker: Larry Williams\, DDS\, MPH\, MAGD\, ABGD\nSpeaker’s Bio:\nLarry Williams\, DDS\, MPH\, graduated from the University Of Tennessee College Of Dentistry in 1982 and then served 30 years in the United States Navy Dental Corps. During his active-duty dental career\, he completed both a one-year Advanced Program in General Dentistry and a two-year hospital-based General Dentistry Residency. He currently holds board certified status in the American Board of General Dentistry. After retirement Dr. Williams joined the faculty at the Midwestern University College of Dentistry-Illinois and currently serves as an Associate Professor for Preclinical Education. He also serves as a Board Member for the Skokie\, Illinois Board of Health\, and serves on the Board of Directors for the Asian Human Services Family Health Center Federally Qualified Health Center. He is a member of the American Dental Association and the Academy of General Dentistry. Dr. Williams is a Master in the Academy of General Dentistry and is also a Fellow in the American College of Dentists\, the International College of Dentists\, the Pierre Fauchard Academy\, and the Academy of Dentistry International. Dr. Williams is Past President of the Illinois Academy of General Dentistry. Dr. Williams has been teaching the Fellowship Review Course for over 20 years. \nCourse Description & Objectives:\nThe Fellowship Review Course is a review of currently accepted knowledge\, techniques and practices in general dentistry. Members may sit for this course as part of their preparation for the Fellowship Exam; however\, taking this course does not guarantee that a member will pass the exam. Information on the content of the Fellowship Exam is held in strictest confidence\, and as such\, information regarding the overall content of the exam will not be released during the review course or to the course speaker. By attending the review course\, candidates may refresh their knowledge of basic clinical information in the 17 areas of general dentistry covered in the exam. \nObjectives\nAt the end of the two-day review course\, attendees will have\n• Reviewed 17 areas of general dentistry\n• Been provided the opportunity to discuss and explore questions pertinent to the areas reviewed\n• Been provided information about the Fellowship Exam \nCE Credit:\n16 hours Lecture Credit \nWhen:\nApril 24 – 25\, 2021 Zoom Virtual Meeting/Webinar \n  \nContact Information: \nDr. Cheryl Mora\, cmoradds@comcast.net; 847-638-7223\nMaureen Kugel\, Executive Assistant\, mkugel.ilagd@gmail.com \n\n \nAbout the Fellowship Exam:\n\nThe exam may be taken at any time during Pre-Fellowship\, including New Graduates (once 90 days have passed after graduation from dental school) and either before\, after or while working towards completion of the required 500 CE hours.\nThe Fellowship Exam consists of approximately 250 multiple-choice questions and is administered in a one day\, four-hour testing session. The exam includes material from all dental disciplines and strongly emphasizes clinical applications of accepted dental knowledge\, techniques\, and procedures.\nTo register for the Exam\, you must do so by completing an application and sending it along with the $600 fee to National Headquarters to sit for the exam.\nFor more information go to to http://www.agd.org/continuing-education-events/get-recognized/become-an-agd-fellow\n\n  \nFellowship Award Requirements:\n\nCurrent AGD membership for three (3) continuous years (36 months) by December 31 of the year in which the application is received\, to begin no earlier than the month of dental school graduation; dental license has not been suspended or revoked within the last five years\, and is not currently under probation\, suspension\, or revocation.\nCompletion of 500 hours of FAGD/MAGD-approved continuing education credit\, with at least 350 hours earned in course attendance. Mastership credit begins to accrue on the date that the 500-hours requirement has been met\, as determined by the Dental Education Council.\nSuccessful completion of the Fellowship Examination. Any active general dentist member joining the AGD after February 2010 be subject to a 90-day waiting period prior to applying for or sitting for the Fellowship Exam in order to verify their membership status. The Fellowship application and examination must be completed and the application postmarked by the December 31 deadline.\nAttendance at a Convocation Ceremony\, held during the AGD Annual Meeting\, to receive the award. Successful candidates are allowed three years following approval to complete this requirement.\n\n\n  \n\n  \n  URL:https://ilagd.org/event/ilagd-fellowship-exam-review-course-dr-larry-willaims/ LOCATION:Webinar\, United States CATEGORIES:ILAGD ATTACH;FMTTYPE=image/png:https://ilagd.org/wp-content/uploads/ILAGD-color-coded-text1.png ORGANIZER;CN="Dr. Cheryl Mora DDS%2C MAGD":MAILTO:tzaner2@gmail.com END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/Denver:20210420T190000 DTEND;TZID=America/Denver:20210420T200000 DTSTAMP:20261114T055125 CREATED:20210216T184416Z LAST-MODIFIED:20210217T223253Z UID:13158-1618945200-1618948800@ilagd.org SUMMARY:ILAGD Presents ~ Free Webinar: Practice Acquisition: What It Takes DESCRIPTION:Dental Students\, Dental Residents & New Dentists\nFour Complimentary Zoom Courses provided by the\nIllinois Academy of General Dentistry\nREGISTER NOW FOR ALL 4 COURSES\nOR SIGN UP FOR THE COURSES YOU WANT TO ATTEND INDIVIDUALLY\n Practice Acquisition: What It Takes\nTuesday\, April 20\, 2021  \n7:00-8:00 pm Zoom Virtual Program\nMr. Rex Plamann \n1 hour Lecture CE credit \nThis Program seeks to answer:\n• Why do you want to own a practice?\n• What are the benefits to owning a practice?\n• How can I afford a practice?\n• When is it right to for me to seek ownership?\n• Who should be involved? I need a team!\n• How do I evaluate a practice?\n• What is involved in the process to purchase a practice?\n• What does the market look like today and in the future years?\n• Q & A \nBiography\n Mr. Rex Plamann\, is a dental industry veteran representing “ddsmatch” in Greater Chicago and the northern Illinois market. With 30 years of experience\, Rex brings a passion for the dental profession. During that time\, Rex has built a strong knowledge base of how a dental practice operates by studying thousands of practices and practitioners. DDSmatch specializes in connecting buyers and sellers by integrating tremendous relationship capabilities\, using a unique process for dentists “The Trusted Transition Process\,” supported by a robust website and professional advice. \nBefore joining ddsmatch\, Rex served as a General Manager for 18 years at Patterson Dental in Cleveland\, OH and Chicago\, IL. He is a licensed Business Broker in the state of Illinois and is ready to uncover opportunities for clients he serves in the Chicagoland area. Rex is a 1993 Graduate of the University of Wisconsin- Madison\, is an outdoor enthusiast\, and lives in Elmhurst\, IL with his wife and two children. \n \nRegistration:\nOnline registration is open now; select your ticket at the bottom of the page and “Add to Cart” \nThe Zoom/Webinar link will be sent to participants the week of the course. \n\nFor more information contact Dr. Cheryl Mora\, ILAGD Membership Co-Chair at cmoradds@comcast.net\nor 847-638-7223 (cell) URL:https://ilagd.org/event/ilagd-presents-free-webinar-practice-acquisition-what-it-takes/ LOCATION:Webinar\, United States CATEGORIES:ILAGD ATTACH;FMTTYPE=image/png:https://ilagd.org/wp-content/uploads/ILAGD-color-coded-text1.png END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/Denver:20210406T190000 DTEND;TZID=America/Denver:20210406T200000 DTSTAMP:20261114T055125 CREATED:20210216T183440Z LAST-MODIFIED:20210217T221832Z UID:13156-1617735600-1617739200@ilagd.org SUMMARY:ILAGD Presents ~ Free Webinar: Navigating Student Loans DESCRIPTION:Dental Students\, Dental Residents & New Dentists\nFour Complimentary Zoom Courses provided by the\nIllinois Academy of General Dentistry\nREGISTER NOW FOR ALL 4 COURSES\nOR SIGN UP FOR THE COURSES YOU WANT TO ATTEND INDIVIDUALLY\nNavigating Student Loans\nTuesday\, April 6\, 2021  \n7:00-8:00 pm Zoom Virtual Program\nRyan J. Lies\, CPA\, MST \n1 hour Lecture CE credit \nObjectives of the Program: \n\nProvide you with more information so that you are better prepared to make better decisions relating to student loans and financial matters\nVocabulary\nTypes of Loans and Repayment Plans\nBudgeting\nConsolidation & Refinancing\nCommon Concerns\, Questions\, and Comments\n\nBiography\n Ryan Lies\, CPA\, MST is a Licensed & registered CPA in Illinois that focuses on the dental profession. He earned his Master of Science in Taxation from DePaul University. Ryan has over 12 years of experience and he has helped his clients navigate the complexities of the tax code along with managing their dental practices. He enjoys teaching clients about the business aspect of their practices. His goal is for dentists to be informed and prepared to make the business decisions that they will face\, with less stress\, uncertainty\, and anxiety so that they can focus on doing dentistry. When Ryan is not practicing\, he enjoys traveling with his wife Vanessa Casanova\, taking their rescue dog Sadie to the many Chicago area dog parks\, and competing in a Chicago metropolitan handball league. \n \nRegistration :\nOnline registration is open now; select your ticket at the bottom of the page and “Add to Cart.” \nThe Zoom/Webinar link will be sent to the participants the week of the course. \n\nFor more information contact Dr. Cheryl Mora\, ILAGD Membership Co-Chair at cmoradds@comcast.net\nor 847-638-7223 (cell) URL:https://ilagd.org/event/ilagd-presents-free-webinar-navigating-student-loans/ LOCATION:Webinar\, United States CATEGORIES:ILAGD ATTACH;FMTTYPE=image/png:https://ilagd.org/wp-content/uploads/ILAGD-color-coded-text1.png ORGANIZER;CN="Dr. Cheryl Mora DDS%2C MAGD":MAILTO:tzaner2@gmail.com END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/Denver:20210325T190000 DTEND;TZID=America/Denver:20210325T200000 DTSTAMP:20261114T055125 CREATED:20210216T182239Z LAST-MODIFIED:20210217T223201Z UID:13151-1616698800-1616702400@ilagd.org SUMMARY:ILAGD Presents ~ Free Webinar: Finding the Right Associateship for YOU plus Important Market Trends DESCRIPTION:Dental Students\, Dental Residents & New Dentists\nFour Complimentary Zoom Courses provided by the\nIllinois Academy of General Dentistry\nREGISTER NOW FOR ALL 4 COURSES\nOR SIGN UP FOR THE COURSES YOU WANT TO ATTEND INDIVIDUALLY\n  \nFinding the Right Associateship for YOU plus Important Market Trends\nThursday\, March 25\, 2021  \n7:00-8:00 pm Zoom Virtual Program\nMr. Rex Plamann \n1 hour Lecture CE credit \nObjectives of the Program: \n• Associateships: Discover what is critical to uncovering a successful associateship. What ingredients are needed to support a rewarding role. What pitfalls to avoid which may result in a failed associateship.\n• Compensation Trends in Associateships.\n• Where do you want to work? Urban vs Suburban vs Rural.\n• Employment Contracts: What you need to know.\n• Learn about other opportunities and how they differ in levels of Control and Investment for YOU.\n• Discuss the state of the dental market: Trends with job opportunities. Practice acquisitions and the DSO influence.\n• Q & A. \n  \nBiography\n Mr. Rex Plamann\, is a dental industry veteran representing “ddsmatch” in Greater Chicago and the northern Illinois market. With 30 years of experience\, Rex brings a passion for the dental profession. During that time\, Rex has built a strong knowledge base of how a dental practice operates by studying thousands of practices and practitioners. DDSmatch specializes in connecting buyers and sellers by integrating tremendous relationship capabilities\, using a unique process for dentists “The Trusted Transition Process\,” supported by a robust website and professional advice. \nBefore joining ddsmatch\, Rex served as a General Manager for 18 years at Patterson Dental in Cleveland\, OH and Chicago\, IL. He is a licensed Business Broker in the state of Illinois and is ready to uncover opportunities for clients he serves in the Chicagoland area. Rex is a 1993 Graduate of the University of Wisconsin- Madison\, is an outdoor enthusiast\, and lives in Elmhurst\, IL with his wife and two children. \n \nRegistration :\nOnline registration is open now; select your tickets at the bottom of the page and “Add to Cart”\nThe Zoom/Webinar link will be sent to participants the week of the course. \n\nFor more information contact Dr. Cheryl Mora\, ILAGD Membership Co-Chair at cmoradds@comcast.net\nor 847-638-7223 (cell) URL:https://ilagd.org/event/ilagd-presents-free-webinar/ LOCATION:Webinar\, United States CATEGORIES:ILAGD ATTACH;FMTTYPE=image/png:https://ilagd.org/wp-content/uploads/ILAGD-color-coded-text1.png ORGANIZER;CN="Dr. Cheryl Mora DDS%2C MAGD":MAILTO:tzaner2@gmail.com END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/Denver:20210316T190000 DTEND;TZID=America/Denver:20210316T200000 DTSTAMP:20261114T055125 CREATED:20210216T180607Z LAST-MODIFIED:20210217T224706Z UID:13147-1615921200-1615924800@ilagd.org SUMMARY:ILAGD Presents~ Free Webinar: Resume Preparation & Interview Skills DESCRIPTION:Dental Students\, Dental Residents & New Dentists\nFour Complimentary Zoom Courses provided by the\nIllinois Academy of General Dentistry\nREGISTER NOW FOR ALL 4 COURSES \nResume Preparation & Interview Skills \nHosted in conjunction with Megan Walls of Walls Career Coaching\nTuesday\, March 16\, 2021  \n7:00-8:00 pm Zoom Virtual Program\nMr. Rex Plamann \n1 hour Lecture CE credit \nObjectives of the Program: \n• Develop a resume which will garner serious attention.\n• Your network matters! When and how should I extend my network.\n• The Interview: How to sell yourself with confidence.\n• What do hiring managers want to hear?\n• Interviews go both ways: What do you want to ask of the practice.\n• When to ask for the job.\n• Q & A. \nBiographies\n Mr. Rex Plamann\, is a dental industry veteran representing “ddsmatch” in Greater Chicago and the northern Illinois market. With 30 years of experience\, Rex brings a passion for the dental profession. During that time\, Rex has built a strong knowledge base of how a dental practice operates by studying thousands of practices and practitioners. DDSmatch specializes in connecting buyers and sellers by integrating tremendous relationship capabilities\, using a unique process for dentists “The Trusted Transition Process\,” supported by a robust website and professional advice. \nBefore joining ddsmatch\, Rex served as a General Manager for 18 years at Patterson Dental in Cleveland\, OH and Chicago\, IL. He is a licensed Business Broker in the state of Illinois and is ready to uncover opportunities for clients he serves in the Chicagoland area. Rex is a 1993 Graduate of the University of Wisconsin- Madison\, is an outdoor enthusiast\, and lives in Elmhurst\, IL with his wife and two children. \n  \n \nRegistration :\nOnline registration is open now\, select your tickets at the bottom of the page and “Add to Cart.” The Zoom/Webinar link will be sent to participants the week of the course. \n\nFor more information contact Dr. Cheryl Mora\, ILAGD Membership Co-Chair at cmoradds@comcast.net\nor 847-638-7223 (cell) URL:https://ilagd.org/event/ilagd-presents-resume-preparation-interview-skills/ LOCATION:Webinar\, United States CATEGORIES:ILAGD ATTACH;FMTTYPE=image/png:https://ilagd.org/wp-content/uploads/ILAGD-color-coded-text1.png ORGANIZER;CN="Dr. Cheryl Mora DDS%2C MAGD":MAILTO:tzaner2@gmail.com END:VEVENT BEGIN:VEVENT DTSTART;TZID=America/Denver:20201120T080000 DTEND;TZID=America/Denver:20201121T170000 DTSTAMP:20261114T055125 CREATED:20190801T161950Z LAST-MODIFIED:20201019T223935Z UID:10471-1605859200-1605978000@ilagd.org SUMMARY:Central ILAGD Presents: Endodontics vs. Implants by Drs. Nisha Mehta & Irbad Chowdhury DESCRIPTION:SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF DENTAL MEDICINE\n&\nTHE CENTRAL ILLINOIS ACADEMY OF GENERAL DENTISTRY\nPresents: \nZoom Virtual Meeting/Webinar \nRoot Canal Therapy or Implant Restoration\nTreatment Options for Today’s Patient\nDrs. Nisha Mehta & Irbad Chowdhury\nCourse:\nDay 1 Recently dental implants have become a common alternative to endodontic re -treatment. Disparity and confusion arise when looking at implant and endodontic -treatment literature as the criteria for success. There are inconsistent treatment outcomes cited in literature and dilemmas arise as to how to proceed with a failing root canal. It is essential to understand these factors in relation to dental implants so that the best treatment options can be discussed with the patient. Today’s presentation will help direct dentists toward root canal treatment or dental implants. You will learn about diagnostic factors\, treatment planning the restorable and non-restorable dentition\, considerations before treatment\, critical surgical and restorative factors\, as well as surgical and prosthetic procedure workflow. It will provide a workflow chart\, differentiating all types of patients and placing them into their respective restorative categories.\nDay 2 Keep It or Lose It! For participation Credit: You will be provided in -depth case studies\, each with unique presentations in favor of an implant or RCT or both. At the end of the presentations\, participants will cast their vote and rationale for which course of treatment is chosen. \nSpeaker Bio:\nDr. Nisha Mehta holds a Bachelor of Science in Accounting degree from Purdue University and a Doctoral Degree from Indiana University School of Dentistry. Dr. Mehta completed extensive post -doctoral training through a General Practice Residency in Peoria\, Illinois and expanded her surgical treatment knowledge by completing a year-long Implant Fellowship at the Southern Illinois University School of Dental Medicine. She also obtained a Master of Science degree and a Certificate in Endodontics from Saint Louis University in Missouri. Her educational background and work experience enable her to provide patients a unique and informed perspective regarding endodontic prognosis\, microsurgical endodontics\, and implant treatment planning. Dr. Mehta maintains active memberships in the American Association of Endodontics\, Academy of General Dentistry\, and Illinois State Dental Society. \nDr. Irbad Chowdhury received his dental degree from the Southern Illinois University School of Dental Medicine where he continued and completed his residency in Advanced Education in General Dentistry and an Implant Fellowship. Dr. Chowdhury focuses on dental implantology. His training includes a Dental University based implant fellowship program which was specific to dental implantology and implant prosthodontics. He is one of the very few graduates of this type of program worldwide. He has also developed an expertise in advanced dentistry and dental reconstruction which has been the focus of his continuing education efforts. A former faculty and Clinical Professor at Southern Illinois University\, School of Dental Medicine\, Dr. Chowdhury continues to help serve as a mentor and teaches at Midwestern University Dental School as a clinical instructor. He is an esteemed Fellow of the International Congress of Oral Implantology\, an Associate Fellow of the American Academy of Implant Dentistry and Fellow of the Academy of General Dentistry. \nCourse Objectives:\nAt the completion of this course\, the participant will be able to:\n1. Identify the most common reasons for endodontic failure.\n2. Discuss treatment options for a failing root canal and factors that should be considered.\n3. Review the principles of endodontic diagnosis and treatment.\n4. Properly diagnose and treat patients for implant placement and restoration\n5. Identify treatment planning steps for various clinical scenarios for both root canal therapy and implantology\n6. Understand medical evaluation of the dental patient\, relative risks of dental implantology and pharmacology.\n7. Identify treatment options for non-restorable dentition\n8. Understand surgical techniques used to place implants as well as implant restoration options\n9. Understand anatomical considerations and the importance of proper implant positioning\n10. Understand the use of different types of abutments.\n11. Discuss endodontic therapy procedures \nYou will be given a link to the zoom webinar for each day that you register for the seminar. This means that the 2-day participation course registrants will receive 2 separate zoom links from SIUSDM. \nSupplies: For the hands-on session on 11/21/20 please bring magnification eyewear\, 4 hole hand piece\, slow speed and high speed handpieces. \n  \nCE Credits:\n(Towards AGD Fellowship or Mastership)\n8 hours of Endo or Implant lecture credit for those who attend the 11/20/20 lecture only;\n16 hours of Endo or Implant participation credit for those who attend 11/20/20 lecture and 11/21/20 participation (36 hours for those who complete an in-office protocol assignment and report). Email: sbishop@peoriacounty.org for information. \nWhen & Where:\nThis course will be a Zoom Virtual Meeting/Webinar and will require the use of a computer (preferably) or tablet and the doctor will need to enable video and audio for the course. \nCourse Schedule:\nFRIDAY\, November 20\, 2020 – Lecture\n8:00 am – 10:30 am Lecture\n10:45 am – 10:30 am Break\n10:30 am – 2:00 pm Lecture\n12:00 pm – 1:00 pm Lunch\n1:00 pm – 3:00 pm Lecture\n3:00 pm – 3:15 pm Break\n3:15 pm – 5:00 pm Lecture \nSaturday\, November 21\, 2020 – Hands-on \n8:00 am – 10:30 am Case Studies\nPresentation/Discussion\n10:30 am —10:45 am\n10:45 am —12: 00 pm Case Studies Presentation/Discussion\n12:00 pm – 12:30 pm Lunch\n12:30 pm – 4:30 pm Case Studies Presentation/Discussion \nYou will be given a link to the zoom webinar for each day that you register for the seminar. This means that the 2-day participation course registrants will receive 2 separate zoom links from SIUSDM. \nDEADLINE: \nNovember 15\, 2020\nMay register for 11/20/20 lecture only. \n\n  \nProtocol Reporting Session \nPlease contact Dr. Susan Bishop via e-mail if you wish to present a protocol assignment on 11/19/20 at 7:30 PM. \n\nSEMINAR COSTS                                                   AGD/ADA                          NON-AGD/ADA\nPUBLIC HEALTH\nDentist 2 day participation                                      $595                                           $695 \nDentist  11/20/20 Lecture only                                $225                                           $325\nStaff (non-dentist) per day                                      $50                                             $75\n(must be accompanied by dentist)\nSIU Instructors/Students  lecture                            N/C\nonly and  observation only.\nMust be registered for seminar. \nNon-Members: Join AGD and receive seminar at AGD member cost.\nContact Dr. Susan Bishop for information. \nRefunds are available for courses\, minus $50 processing fee\, will be granted if requested at least ten days prior to the start of the course. \nREGISTRATION FORM \nCheck appropriate line\, or list number attending: \n___AGD/ADA/Public Health Dentist                              $ _________ \n___Staff Member/AGD/ADA Dentist                              $ _________ \n___Non-AGD/ADA Dentist                                             $ _________ \n___Staff Member/Non-AGD/ADA Dentist                      $ _________ \n___SIU/SDM Student/Resident                                     $ _________ \n___SIU/SDM Faculty                                                      $ _________ \nTOTAL  $ _________ \nAGD/ADA No. _________________________________________ \nTotal Number Attending __________________________________ \nAmount Enclosed _______________________________________ \nCheck Number _________________________________________ \n(Make check payable to the Central Illinois AGD) \nName: ________________________________________________ \nAddress: ______________________________________________ \nCity\, State\, Zip _________________________________________ \nBusiness Phone: ________________________________________ \nHome Phone: __________________________________________ \nFax/E-mail Address: ____________________________________ \n___In Office Protocol \n___Please send me a new AGD member packet. \nIf more than one person is attending\, please list their names on a separate sheet of paper. \nReturn by \nPAYMENT \nReturn the completed registration form and check payable to CIAGD to: \nDr. Susan Bishop \n7314 N. Edgewild Dr. \nPeoria\, IL 61614 \nEmail: sbishop@peoriacounty.org for information. \n  \n\nNext CIAGD/SIUSDM Seminar:  \nMarch 19 & 20\, 2021 – Dr. Jaime & Dr. Stan Presley – Orthodontics\nJune 18\, 2021- Dr. Richard June – Removable Prosthetics \n\nFor more IL AGD CE Courses please go to ILAGD.org \n \n\n