Get Ce_registration_form.. - Siue Web Radio

Filling out the CE_Registration_Form.. for SIUE Web Radio is an essential step to ensure your participation in this valuable educational opportunity. This guide will provide clear instructions on how to navigate each section of the form, ensuring that you can complete it successfully.

Follow the steps to fill out the CE_Registration_Form..

1. Press the ‘Get Form’ button to access the registration form and open it in your preferred document editor.
2. Identify the correct registration class by viewing the options provided. Select the appropriate box based on your professional status, such as 'AGD/ADA/Public Health' or 'Non-AGD/ADA Dentist'.
3. Enter the total number of attendees in the 'Number Attending' field to reflect how many will register under your chosen category.
4. Fill out your AGD/ADA number as needed to ensure proper association membership is recorded.
5. Complete the personal information section by providing your name, address, city, state, zip code, and contact details including your phone number and email.
6. If applicable, check the box for 'In Office Protocol' to indicate your interest in this option or any additional requests for AGD member packets.
7. Calculate the total amount due and enter the total into the 'Amount Enclosed' field. Be sure to also include your check number for payment.
8. Review all information for accuracy before submitting. If registering multiple attendees, list their names on a separate sheet of paper.
9. Finally, return the completed registration form to the specified address before the deadline of March 21, 2012.

Complete your CE_Registration_Form.. online today to secure your spot!