Registration form
2010 Lone Star Dental Conference

September 9 - 11• Austin, TX

The 2010 Lone Star Dental Conference will be at the same venue as last year, AT&T Executive Education and Conference Center. The space houses state of the art learning facilities and is located on the University of Texas campus between the iconic UT Tower and the Texas State Capitol. The AT&T Center also hosts a four-star hotel on its facilities.

To make reservations for the Lone Star Dental Conference for the TAGD group rate of $170 call 512-404-1900 or reserve online at the group rate at http://www.meetattexas.com/ - the room block is listed under Lone Star Dental Conference. If you’re making reservations online, the room block code is : LONEST0910. This special rate is offered until August 17. Space is limited so make reservations early!

ATTENTION: If you are registering as a student or for the Leadership reception, once you hit submit on this form your registration will be received by TAGD.

Friday Lecture • Dr. Gordon Christensen

AGD Dentist $210 x
Non AGD Dentist $295 x
New graduates (2009 or 2010 grad) $125 x
Staff $95 x
Non AGD Student $50 x
AGD Student Free x
     

Saturday Workshops

Stain & Glaze Made Easy $255 x
The Abused Mouth $255 x
Photo Workshop $255 x
First Dental Home
Must have applied or be a provider of Texas Health Steps to take this course
$15 x

LSDC Events

   
Thursday’s Leadership Reception
(no charge) x
Texas Dentist of the Year Gala $95 x
     
Donation to the Jack T. Clark Foundation $
Donation to the Texas Advocacy Fund $
   
   
Total
Lunch included for Friday courses:
$0  

Registrant Information

First Name: Last Name: AGD #:
Badge Name (if desired): E-mail:
Spouse Name (if attending as guest):
Address: City: State: Zip:
Phone: Fax:
Staff: Staff:
Staff: Staff: