NDA Mid-Winter House of Delegates Meeting Registration:
Saturday, January 25, 2025

Atlantis Casino Resort Spa
3800 S Virginia St
Reno, NV, 89502

Meeting: 10:00 am - 4:30 pm

Continental Breakfast: 9:00 am - 9:55 am

Lunch: 12:30 pm

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* 1. Attendee Name

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* 2. Attendee Credential or Student

DMD

DDS

Student

Other (please specify)

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* 3. ADA Member Number (if known).

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* 4. Attending As:

Delegate

Alternate

Ex-Officio

Member

Staff

Guest

Other (please specify)

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* 5. Email Address

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* 6. Phone Number

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* 7. Address

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* 8. Are you planning to attend the Social Event following the HOD at Bistro Napa?

Yes

NDA Mid-Winter House of Delegates Meeting Registration:Saturday, January 25, 2025

Atlantis Casino Resort Spa3800 S Virginia StReno, NV, 89502

Question Title

* 1. Attendee Name

Question Title

* 2. Attendee Credential or Student

Question Title

* 3. ADA Member Number (if known).

Question Title

* 4. Attending As:

Question Title

* 5. Email Address

Question Title

* 6. Phone Number

Question Title

* 7. Address

Question Title

* 8. Are you planning to attend the Social Event following the HOD at Bistro Napa?

NDA Mid-Winter House of Delegates Meeting Registration:
Saturday, January 25, 2025

Atlantis Casino Resort Spa
3800 S Virginia St
Reno, NV, 89502