ECDL Official Online Registration Form

EASTERN CONFERENCE OF DENTAL LABORATORIES
November 5-8, 2015

Official online registration form.
Please read carefully and complete all applicable areas.

Question Title

Laboratory/Company

Address

City

State/Province

Zip/Postal Code

Country

Phone

FAX

FL Lab License # (if applicable)

PACKAGE A REGISTRATION
Two-Day Package

NCDLA/SCDLA Members & Active Military

First Person from Lab/Office: $199; (after 10/28) $219
Add'l Person(s), Same Lab/Office: $189; (after 10/28) $209
Includes Friday & Saturday seminars; DENTSPLY Hands-On; Presidents' Hospitality (Thursday); Awards Luncheon (Friday); Networking Reception (Friday); Lunch on the Run OR Lunch 'n Learn (Saturday; Lunch 'n Learn available for NCDLA/SCDLA members ONLY. No choice=Lunch on the Run.); exhibits; table clinics; breaks. Eligible for door prizes.

Non-Members

First Person from Lab/Office: $299; (after 10/28) $319
Add'l Person(s), Same Lab/Office: $289; (after 10/28) $309
Includes Friday & Saturday seminars; DENTSPLY Hands-On; Presidents' Hospitality (Thursday); Awards Luncheon (Friday); Networking Reception (Friday); Lunch on the Run (Saturday); exhibits; table clinics; breaks. Eligible for door prizes.

PACKAGE B REGISTRATION
Friday Only

NCDLA/SCDLA Members & Active Military

First Person from Lab/Office: $150; (after 10/28) $170
Add'l Person(s), Same Lab/Office: $145; (after 10/28) $165
Includes Friday seminars; DENTSPLY Hands-On; Presidents' Hospitality (Thursday); Awards Luncheon (Friday); Networking Reception (Friday); exhibits; table clinics; breaks. Eligible for door prizes.

Non-Members

First Person from Lab/Office: $210; (after 10/28) $230
Add'l Person(s), Same Lab/Office: $205; (after 10/28) $225
Includes Friday seminars; DENTSPLY Hands-On; Presidents' Hospitality (Thursday); Awards Luncheon (Friday); Networking Reception (Friday); exhibits; table clinics; breaks. Eligible for door prizes.

PACKAGE C REGISTRATION
Saturday Only

NCDLA/SCDLA Members & Active Military

First Person from Lab/Office: $150; (after 10/28) $170
Add'l Person(s), Same Lab/Office: $145; (after 10/28) $165
Includes Saturday seminars; DENTSPLY Hands-On; Presidents' Hospitality (Thursday); Lunch on the Run OR Lunch 'n Learn (Saturday; Lunch 'n Learn available for NCDLA/SCDLA members ONLY. No choice=Lunch on the Run.); exhibits; table clinics; breaks. Eligible for door prizes.

Non-Members

First Person from Lab/Office: $210; (after 10/28) $230
Add'l Person(s), Same Lab/Office: $205; (after 10/28) $225
Includes Saturday seminars; DENTSPLY Hands-On; Presidents' Hospitality (Thursday); Lunch on the Run (Saturday); exhibits; table clinics; breaks. Eligible for door prizes.

PACKAGE D REGISTRATION
Exhibit Hall Only Pass

All Guests
$15 (MUST register -- name badge required to enter Exhibit Hall!)
Includes Dentsply Hands-On, exhibit hall, table clinics. Eligible for door prizes. Does NOT include seminars, meals, or breaks.

No CE credits available with Package D (with exception of Dentsply Hands-On).

OPTIONS & EXTRAS

Golf Outing Thursday, November 5 -- for more info, see program book or website.
FREE* (if registered and paid by 9/24)
$42.50* (if registered and paid by 10/14)
$85 (if registered and paid after 10/15)

Club Rental Fee: $60

*Discounted fees are courtesy of Heraeus Kulzer and apply to lab employees only. Excludes exhibitor/vendor representatives.
No cancellations after 10/16 -- NO EXCEPTIONS!
Includes green fees, cart, lunch, and round-trip transportation.

Friday Awards Lunch
All Guests: $35 per ticket
Included in Package A and Package B. Installation of officers and presentation of awards. A look back at the past 25 years.

Saturday Lunch 'n Learn
NCDLA/SCDLA members ONLY: $35 per ticket
Included in Package A and C. Featured speaker, Matthew Clark.

Saturday Lunch on the Run
All Guests: $35 per ticket
Included in Package A and C.

Raffle Ticket
$5 per ticket or 5 for $20

Food functions are not guaranteed for on site registrations. Active military may register at NCDLA/SCDLA member rates. Fees may not be discounted in lieu of meals.

Students enrolled in the formal programs of Dental Laboratory Technology or Dentistry may register at no charge and may attend seminars on a space-available basis. Enter school name for "company" in the space provided. Student ID required upon request. Complimentary student registration does not include meals or optional events.

Please note: All registrations RECEIVED after 10/28/15 are considered on site registrations and require an additional fee.