12th Annual Andrews Philosophy Course

3-Day and 5 segment Andrews Foundation Course
   

REGISTRATION FORM


COURSE DATES

San Diego CA., September 25th-27th, 2008
Washington D.C., October 16th-18th, 2008

 

TUITION

$900 for orthodontists and oral surgeons, $300 for residents enrolled in a 2 or 3 year ADA accredited U.S. or Canadian orthodontic or oral and maxillofacial surgery program, and $700 for U.S. and Canadian full-time faculty, foreign residents enrolled in a one-year U.S. or Canadian accredited orthodontic or oral and maxillofacial surgery program, and for foreign visiting professors. Tuition is due upon registration. To enroll, please fill out and return the registration form page (or a copy), mark your calendar, and make hotel and travel arrangements. The first 50 applicants will be ensured of enrollment upon receipt of this completed form and payment in full. You will then receive confirmation by mail as well as a list of materials to bring to the course.

PREREQUISITES:

Orthodontist or surgeon, or current enrollment in ADA accredited programs.
Please send payment (by check in U.S. Funds payable on a U.S. Bank only, or use your Visa or Mastercard) to:
The Andrews Foundation
2025 Chatsworth Blvd.
San Diego, CA 92107
Tel. (800) 799-8952 (in USA only) or (619) 224-0866      Fax. (619) 224-6979
Website: www.andrewsfoundation.org
Email: drandrews@msn.com

_____Visa _____Mastercard. Acct. #________________________ Exp. date ______

Amount Enclosed $_____________________ Telephone no. (____)______________

____________________________________________________________________
Name (Please Print) Dental School Yr. of Grad.

____________________________________________________________________
Signature Orthodontic School Yr. of Grad.

____________________________________________________________________
Address

____________________________________________________________________
City State Zip (Postal) Code

____________________________________
Country

____________________________________________________________________
Fax. no. E-mail address

_____ I have included the price of the textbook "Straight-Wire, The Concept and
Appliance." The price of the book is: $125.00 (US) plus shipping and handling ($10
in the Continental U.S., $20 outside the Continental U.S.) California residents please
add 7.75 % sales tax ($9.69).

Cancellation Policy: The Andrews Foundation reserves the right to cancel or postpone
any course due to unforeseen circumstances or insufficient enrollment. In the event of
such cancellation, full tuition will be refunded. For enrollees, there will be a full refund
(less a $100 administration fee) for cancellations six weeks prior to the course; there
will be no refund or credit given if cancellation is less than six weeks prior to the course
unless enrollee can locate a qualified replacement or the vacated spot can be filled from
a course waiting list. The Andrews Foundation assumes not responsibility for transportation
or lodging.