Aesthetic Advantage Rosenthal Continuum - October 7-8, 2022 and November 4-5, 2022

Personal Information

• * First Name:
• * Last Name:
• * Email Address:
• * Confirm Email Address:
• Prefix: --Choose-- Mr Mrs Miss Ms Dr Prof Rev Fr Sr Rabbi
• * Address 1:
• Address 2:
• Address 3:
• * City:
• State: --Choose-- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming -------------- Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory
• * ZIP Code:
• Province:
• * Country: --Choose-- United States Canada -------------- Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, Democratic Republic of Cook Islands Costa Rica Cote D'Ivoire Croatia Curaçao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guyana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory, Occupied Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Barthelemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin (French Part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch Part) Slovakia Slovenia Solomon Islands Somalia South Africa South Korea South Sudan Spain Sri Lanka Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom Uruguay Uzbekistan Vanuatu Venezuela Viet Nam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe
• * Phone:
• * Cell Phone:
• * Referred by/How did you hear about us?
• * Dental License #:

• PLEASE NOTE: THE FALL 2022 HANDS-ON WITH PATIENT IS NOW FULL IF YOU ARE REGISTERING YOU WILL BE PLACED ON A WAIT-LIST - PLEASE CONTACT US FOR MORE INFORMATION BEFORE REGISTERING. ALL LEVELS MUST BE TAKEN IN CONSECUTIVE ORDER Level I, II & III. HANDS-ON TUITION DOES NOT INCLUDE LAB FEES. (Please contact us for more information 609-284-1197)

• Fee

  Type	Fee
  Level I - Hands-On - Must bring Patient & *Must include DA fee below for clinic session $7,695.00 after Friday, July 8, 2022	$6,200.00
  Level II - Hands-On - Must bring Patient & *Must include DA fee below for clinic session $8,695.00 after Friday, July 8, 2022	$7,200.00
  Level III - Hands-On - Must bring Patient & *Must include DA fee below for clinic session $9,695.00 after Friday, July 8, 2022	$8,200.00
  *Staff (DA, Hygienist, Office Mngr. Receptionist)	$99.00
  Observer $3,595.00 after Friday, July 8, 2022	$3,095.00
  Head Start Observer - Recent graduate 2 yrs. or less	$1,795.00

Additional Staff

You may add a maximum of 1

Bundle Registration

• We are offering $6,000.00 off your tuition if register for all three levels (Level I, II & III). Please contact Nellie Parlato for more information at 212-794-3552.

Badge Name/Title (Dr., DA, DH, Dental Student, Admin Support...)

• * Badge Name: