Spring Conference Registration

Step 1

* denotes required fields

Registration fees are fully refundable prior to September 10, 2009. After that date, you must call for credit. Most CE seminars are deductible for doctors and staff. Check with your accountant.

There are multiple pages to this application and they are easy to navigate. Please fill this out entirely whether you are registering by Check or online.

Contact Information

DC Registrant's name that will appear on check or credit card

*DC's First Name:
*DC's Last Name:
Spouse First Name:
* Address:
* City:
* State:
* Zip:
* Phone:
Fax:
Email:

* Select One

$249.00 SDCA Member over 3 years or more.

$179.00 SDCA Member and Spouse.

$90.00 New DC Licensed in 2007.

$75.00 New DC Licensed in 2008.

$50.00 New DC Licensed in 2009.

$349.00 Non-member

$299.00 (Non SDCA member but member of home State Association)

C-PAC Contribution (Voluntary, $200.00 suggested) C-PAC donations must be paid by personal check or credit card.

$30.00 SDCA Auxiliary Dues