:: Membership Form

Please fill the form below and proceed for payment :

Required fields are marked (*).
 
Title
First Name *
Middle Initial
Last Name *
Name on Credit Card *
registering for yourself or others?  *
if registering for other then plz specify name.
Address *
City *
State *
Zip *
Phone * e.g. (999-999-9999)
Fax  e.g. (999-999-9999)
E-mail *
Lic. No. *
  If you don't have a license number type 00000
            
 

Punjabi Dental Society invites you to join the society as a member. The membership is open to everyone affiliated with dental profession. As a member of Punjabi Dental Society you qualify for following benefits:

  • Discount on every continuing education seminar conducted by Punjabi Dental Society.
  • Discount on dental supplies, dental repairs, printing ,travel services, car rental, office
    Book keeping ,Accounting , Payroll services, collection agency, dental office design & construction
    These businesses have agreed to give benefits to PDS members. PDS takes no
    responsibility for their product or services. You will conduct business with them at your own risk.
  • To place free advertisement on web site call 1-866-4-CALL-PDS.

Present your membership card to qualify for these benefits

PDS reserves the right to cancel membership at anytime


 
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