3320 Rutger Street St. Louis, MO 63104

Phone: 314-977-8366 Fax: 314-977-8364

WWW.OERFSTL.ORG

Orthodontic Education and Research Foundation

THE ORTHODONTIC EDUCATION AND RESEARCH FOUNDATION

Application for New Membership

3320 Rutger Street · St. Louis, MO 63104

(314)977-8366 · (314)977-8364-fax oerfstl.org · moscalb@slu.edu

_____________________________________________ First Name Middle Last ________________________________________ Office Mailing Address ________________________________________ City State Zip Code ________________________________________ Telephone Number E-Mail ________________________________________ Dental School Year of Graduation ________________________________________ Graduate Education in Orthodontics (School, Year, Degree)

___________________________________________________ Orthodontic Society Membership (Component) ________________________________________ Sponsoring Foundation Member (optional) Board Eligible Yes No

___________________________________________________ Signature ========================================

OFFICE USE ONLY Membership Committee Recommendations

Approved Disapproved Reconsider at Later Date

_____________________________________________ Chairperson Date _____________________________________________ President Date

ANNUAL DUES $290-PAYABLE AFTER ACCEPTANCE

Practicing Orthodontics Full Time Part Time

Teaching Orthodontics Full Time Part Time

OERF Annual Meeting

March 8-11

The Ritz-Carlton St. Louis, Missouri

2018

Center for Advanced Dental Education at Saint Louis University is an ADA CERP Recognized Provider.

ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, no does it imply acceptance of credit hours by boards of dentistry.

Center for Advanced Dental Education at Saint Louis University designates this activity for up to 19 continuing education credits.

This continuing education activity has been planned and implemented in accordance with the standards of the ADA Continuing Education Recognition Program (ADA CERP) through joint efforts between the Center for Advanced Dental Education at Saint Louis University and the Orthodontic Education and Research Foundation.

60th Anniversary

1958—2018

2018 60th ANNIVERSARY REGISTRATION  

Mail to: Becky Moscal, OERF, 3320 Rutger St. St. Louis, MO 63104 / Fax:314-977-8364

Name Address City State Zip Telephone E-Mail

Member OERF Resident

Guest Recent Graduate Spouse/Guest Attending? Yes No

Meeting registration fees are waived for current orthodontic residents and graduates of 2016 & 2017 who

have completed an application for membership. Function tickets may be purchased at the rates listed below.

MEMBER REGISTRATION ($350) #_____$_____ NON-MEMBER REGISTRATION($800) #_____$_____ Friday Reception ($50) #_____$_____ Saturday Awards Banquet ($100) #_____$_____

TOTAL FEES REMITTED $_______ (make checks payable to OERF)

Please charge my: MasterCard Visa

Discover AMEX Card Number Expiration Date CVC Cancellations must be submitted in writing to Becky Moscal at

moscalb@slu.edu

HOTEL RESERVATIONS

The Ritz-Carlton (314) 863-6300

OERF Group Rate: $205 Deadline for this rate is 02/23/18

OERF ANNUAL MEETING • March 8-11, 2018 The Ritz-Carlton — St. Louis, Missouri

THURSDAY, MARCH 8 6:00 p.m. - Board of Directors Dinner Meeting FRIDAY, MARCH 9

7:00 - 7:45 a.m. - Registration and Continental Breakfast 7:45 a.m. - Kevin Jarrell - President’s Address 8:00 - 10:00 a.m. - Peter Shapiro - A Contrarian’s View of Contemporary Orthodontic Practice 10:00 a.m. - Noon - Tako Araujo - Extractions in Orthodontics: Thinking Beyond the Box!

Noon - Lunch on Your Own Noon - 2:00 p.m. - Box Lunch Program for Residents with Zach & Alex Mellion

2:00 - 5:00 p.m. - Sanjivan Kandasamy - Esthetic Considerations in Orthodontics and Sleep Disordered Breathing and Orthodontics – Waking up to the Evidence 6:00 - 8:00 p.m. - President’s Reception (cocktails & hors d’ouevres)

SATURDAY, MARCH 10 7:30 a.m. - Continental Breakfast 8:00 a.m. - Noon - Richard McLaughlin - Occlusion and the TMJ in

Orthodontics Noon - Lunch on your own 1:30 - 5:30 p.m. - Jae Park - The Application of TADs and CBCT in Contemporary Orthodontics 6:30 p.m. - Cocktail Hour followed by Awards Banquet

Merit Award Recipient – Peter Shapiro Master of Ceremonies – Jim Vaden Entertainment – Bud Luecke We will be honoring all OERF Past Presidents and paying special tribute to Pete Sotiropoulos

SUNDAY, MARCH 11

7:30 a.m. - Continental Breakfast 8:00 - 10:00 a.m. - Louis Chmura - Orthodontic Strategies for Obstructive Sleep Apnea 10:00 a.m. - Noon - Andy Hayes - Evidence Based Class II Correction and Palatal Canine Impactions Using the Open Eruption Technique

19 hours of continuing education available