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First Name

Last Name

Phone Number

Dental School You're Attending

Expected Graduation Year (Dental)

Going for GPR or Specialty Residency (ortho, endo, etc.)?

What are you most interested in learning?

Payment Info

Please acknowledge below that you understand that you will have to pay the $25 deposit upon registration, but you will be 100% refunded if you have 100% attendance. Attendance is marked during the Teams meeting or by watching the recorded video and it'll be tracked on the website.

Acknowledge Refund Policy I acknowledge and agree to the terms.

We accept:

Venmo: @samuelwalker01

Zelle: Samuel R Walker at 765-491-6115

Please make sure to include your account's email in the payment notes. and once you've made the payment it should be reflected in your account within 24 hours.

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Financial Boot Camp for Dentists

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Financial Boot Camp for Dentists

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