Advocacy Fund

Advocacy Program Contribution

Look up your Account with Texas AGD

Click the Account Lookup button to the left.
Enter the search criteria and click Continue.
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If you do not see your name, click the Create an Account button.

THE VOICE OF THE GENERAL DENTIST

No other organization solely represents the interests of general dentists and our patients in Texas. Whether at the Capitol or at regulatory agencies such as the State Board of Dental Examiners, Texas AGD is your strongest professional advocate.

Contact Information

*First Name:
*Last Name:
Address:
City:
State:
Zip Code:
Phone:	(XXX-XXX-XXXX)
Fax:	(XXX-XXX-XXXX)
*Email:

Voluntary Contribution

One-Time Payment

$1,500

$500

$100

Other

Monthly Payments

I authorize TAGD to charge my card monthly (until I cancel in writing) the amount of:

Other

BE RECOGNIZED

Members who donate to any of these levels will receive special recognition throughout the year.

*Totals

TOTAL:

$ 0.00

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Advocacy Program Contribution

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Advocacy Program Contribution

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