Department of Dental Medicine
Discover Dental
Date: 05/20/2013
Affiliation/Organization/Institution & Department:
Company Contact First Name:
Company Contact Last Name:
Daytime Phone:
Email (
COMPLETE
Internet Email Address!!
jdoe@someplace.com
):
Verify Email:
Mailing Address
(Must match your billing address on your credit card statement)
:
Street Address:
Address cont.:
Address cont.:
City:
State:
Postal/Zip Code:
Country:
Department of General Dentistry
Discover Dental School Summer Scholars Program
Location:
School of Dental Medicine
Monday, August 5 - Friday, August 9, 2013 (Orientation is Sunday, August 4)
Fees :
$1700 for Resident participant
$1200 for Commuter participant
Choices:
Resident Participant
Commuter Participant
Refund Policy:
$450 will be refunded if you cancel by Friday, July 5, 2013
$225 will be refunded if you cancel by Monday, July 22, 2013
No refunds will be granted after July 22, 2013
SECCT System developed by Last Modified 05/20/2013 11:35:33 AM