FACD Membership Registration - Laboratory

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.

Sponsors
New members are also required to obtain sponsorship of two current FACD members.  To find an FACD member dentist, browse our FACD Membership Directory or contact the FACD Membership Department at (866) 608-FACD or by email at membership@flacosmeticdentistry.org.

Please enter a Username to create an account. If you already have an account please login before completing this form.
Laboratory Membership Information
New member applicants are required to obtain two current member signatures. If one sponsor is a current FACD board member or FACD past president, only one signature is required.
 
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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