Registration - Oral Health Gr - March 21, 2014

1. Registration for Oral Health GR - March 21, 2014

TITLE: Perinatal Oral Health Webinar

WEBINAR FORMAT - This program will be conducted via a webinar format.

You will listen to the program on your telephone as you follow along watching the PowerPoint on your individual computer.

If you are not able to access a computer during the presentation you may still participate by listening on your telephone.

You will receive your 800 phone number and computer url log in approximately 4 days prior to the program.

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* 1. Last name

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* 2. First Name

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* 3. Title:

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* 4. Registration Information:

Organizational Name

Address:

City:

Zip code

County

Phone (required):

Email (required):

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* 5. I understand that I must email or fax my attendance form and complete the online evaluation in order to be eligible to receive a certificate.

Yes

If you have any questions be contact Victoria at Victoria.Lantzy@hc.msu.edu or (517)355-8250.