Meeting Place
Quintessence Publishing Office
4350 Chandler Drive
Hanover Park, IL 60188
Ph: 800-821-0387

Registration Fee
Friday Half-Day Seminar
$300
At the Westin Chicago Northwest
(includes coffee breaks and cocktail reception)

Saturday Half-Day Workshop
$300
At Quintessence Office
(includes continental breakfast, coffee breaks, workshop material, and lunch)

Special Fee for those attending both days
$450

How to Register
• Register online at the Online Registration Site, or
• Mail your form and check (payable to Quintessence Publishing Co, Inc) for the registration fee to Quintessence Publishing at the address indicated on the registration form, or
• Fax your form with credit card information (Visa,MasterCard, American Express, or Discover) to Quintessence at 630-736-3633, or
• On-site registration will be accepted only on the basis of space availability and thus cannot be guaranteed. Early advance registration is strongly recommended.

Cancellations/Refunds
Cancellations made in writing and received by Quintessence before August 20, 2007, will be refunded in full. For cancellations received on or after August 20, 2007, but before the start of the meeting, a cancellation fee of US $25 will be charged. No refunds will be made after the seminar date.

Continuing Dental Education Credit
Attendees of the Seminar and/or Workshop will receive 4 hours of CE credit per day.

Quintessence Publishing Co, Inc is an ADA CERP Recognized Provider.

Please print out this registration form (PDF) and fax it to us at 630-736-3633

or visit our Online Registration Site.