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* 1. Please provide your NAME and EMAIL ADDRESS (please double check the spelling)

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* 2. Which state do you reside?

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* 3. Which Dental Hygiene school did you graduated from?

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* 4. After going over our website, do you have any questions or further topics you want us to go over during the webinar?

Thank you for signing up! We will send you the Zoom meeting information via email 2 days before the webinar! If you need to contact us, you may contact us at astobsdh@fhda.edu. See you virtually on Friday - May 15, 2020!
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