FACD Membership Registration - Dentist

Membership

In order to receive member pricing for the Scientific Session, your membership MUST be up to date.
Please purchase/renew your membership using the form below. Once your membership has been purchased/renewed, you will automatically receive member pricing.

 

Application Fee
All new Dentist, Laboratory and Student Members (and members who renew after February 1st) are also required to submit a $100 membership application fee. This application fee is waived for each subsequent year, as long as dues are paid by February 1st of the following year.

 

Please enter a Username to create an account. If you already have an account please login before completing this form.
Dentist Member Information
 
Please select any/all choices that apply to your practice.
Credit Card Information
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Billing Name and Address
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