A1. Treatment Planning and Case Presentation Course Bundle

B1. Strategies that sell dentistry-Why is selling dentistry so controversial?

CODECOURSE WORKSHOP DATE PRICE $ SELECT COURSES

Exhibitor Registration Form

Course Information

Contact Information

TX1-032418

B2. A practice within a practice-Are dental implants a luxury brand item? How do you seize the moment to close those $5K to $50K implant cases?

B3. The Co-discovery Method: Co-discovery sells dentistry; taking co-diagnosing to the next level

TX2-051218

TX3-062318

B4. Treatment Coordinators: From basics to intermediate level TX4-092218

B5. Presenting the CASE! Power Point: A powerful tool for dental treatment coordinators! TX5-102718

B 6. Treatment Coordinators: Advanced dental implant treatment

TX-111718

NAME

DATE

DENTAL PRACTICE

OFFICE PHONECELL PHONE

EVENT

Sub Total $

HST $

Sponsor Attendee First Name Last Name Position Food Allergy Cell Number Email

Attendee 1 *

Attendee 2 *

$3000All BelowTX - PROGRAMS

$600March 24, 2018

$600May 12, 2018

$600June 23, 2018

$600September 22, 2018

$600October 27, 2018

$600November 17, 2018

Total $

A1. Treatment Planning and Case Presentation Course Bundle

B1. Strategies that sell dentistry-Why is selling dentistry so controversial?

CODECOURSE WORKSHOP DATE

TOTAL NO OF

ATTENDES PER COURSEPRICE $

EARLY BIRD DISCOUNT +DEADLINE

985 Broadview Ave., Suite 300, Toronto, Ontario, M4K 2R9, Canada Office: 416-429-6545 • Toll Free: 1-800-519-6569 Fax: 416-429-2886

Attendee Registration Form

Course Information

B2. A practice within a practice-Are dental implants a luxury brand item? How do you seize the moment to close those $5K to $50K implant cases?

B3. The Co-Discovery Method: Co-Discovery sells dentistry; Taking co-diagnosing to the next level

B4. Treatment Coordinators: From basics to intermediate level

B5. Presenting the Case! Power Point: A powerful tool for dental treatment coordinators!

B6. Treatment Coordinators: Advanced dental implant treatment TX6-111718

Contact Information

FIRST NAME MIDDLE INITIAL LAST NAME

DATE

DENTAL PRACTICE

OFFICE PHONECELL PHONE

EVENT

Sub Total $

HST $

Total $

Sponsor Attendee First Name Last Name Position Dietary Restrictions Cell Number Email

Attendee 1

Attendee 2

Attendee 3

Attendee 4

Attendee 5

Attendee 6

$849$549

February 28, 2018

$99 byFebruary 28, 2018

$99 by April 12, 2018

$99 byMay 23, 2018

$99 byAugust 22, 2018

$99 bySeptember 27, 2018

$99 byOctober 17, 2018

March 24, 2018

May 12, 2018

TX3-062318

TX4-092218

TX5-102718

Total Attendees Registered

$149

$149

$149

$149

$149

$149

TX0-02018

March 24, 2018

May 12, 2018

June 23, 2018

September 22, 2018

October 27, 2018

November 17, 2018

TX1-032418

TX2-051218

June 23, 2018

September 22, 2018

October 27, 2018

November 17, 2018

I agree to the terms of sale documented on this Bill of Sale / Sales Order and authorize Consult-PRO/DHC Marketing Inc. to process my payment(s) for the item(s) and/or any other recurring monthly charges for products/services provided to me.

Ini

CHEQUE

tial ___________

SECURITY CODE

© 2018 Consult-Pro

Your package includes:

• Access to one-month free trial to Consult-PRO

• Direct support from the auxiliary team at Consult-PRO throughout your one-month free trial

• Continental breakfast and lunch*

• Opportunity to speak and network with 80 members from the dental community

• Direct access to dental sponsors throughout North America

Venue Address

Please Note:

Sponsored by

• Prices are listed per attendee

Registration / Cancellation: If you decide to cancel, you must notify Consult-Pro in writing no later than 2 weeks before the course date.

Cancellations after that date will be subjected to a penalty. Consult-Pro does reserve the right to cancel the program no later than 1 week before start

of the course and will not be responsible for reimbursement of any non-refundable expenses ( eg. Air tickets, hotel, etc ) in the event that the course

is cancelled.

Authorization

I _________________________________________________, herby authorize Consult-Pro/DHC Marketing Inc.to charge my credit card specified

in the amount of $ ________________________ for the services or purchases from Consult-Pro/DHC Marketing Inc.

I, _________________________________________________, herby authorize Consult-Pro/DHC Marketing Inc. to use this information as a

signature on file for future orders I will place for similar products and/or services, unless otherwise requested.

I, _______________________________________________, consent to allow Consult-Pro/DHC Marketing Inc. to share* my information with the

sponsors participating at this event. *: You are able to opt out of this at any time

_____________________________________________________________ ____ ___________________

Signature Date

For our guests coming in from out of town, we have negotiated a deal with the Courtyard Marriott close to the venue

at $159/night. Please let us know and we will be happy to provide you with the discount code for this deal.

Toronto College of Dental Hygiene and Auxiliaries Inc.

28 Vanley Cres.

North York, ON COURSE

M3J 2B8