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MidWinter CE Register & Pay Online

If you would like to register and pay online, fill out the information below and then press submit.  You will then be redirected to a secure payment site.

WDA Member Dentist:            $170
WDA Member Staff:                $50
Non-WDA Member Dentist​     $325

For a full refund, cancellations must be made to the WDA by Jan. 12, 2018
Dr.'s Name
Staff Names
Email Address
"State":"WY"