Dent-Ed Solutions, LLC Registration Form
Please fill out this form before Paying Online.
Other - Please specify Title
Professional License #
AGD Member #
Please provide in case of emergency or changes
Person paying for this course
Other - Type name of person paying for the course(s)
If registering more than one person, please type each persons name and title
Would you like to receive email notifications of upcoming courses?
We are committed to keeping your e-mail address confidential. We do not sell, rent, or lease our subscription lists to third parties, and we will not provide your personal information to any third party individual, government agency, or company at any time.
* Note: You will not be completely registered unless you pay after filling out this registration form. Below is some helpful information.
1. Once you click on the Register button below, it will take you to the Dent-Ed Solutions, LLC Courses Selection web page.
2. From that web page you will select the course or courses by clicking the Add to Cart button to the right of the course.
3. Only one course could be added to the Shopping Cart at a time.
4. If you will be selecting more than one course then you will need to click on the Continue Shopping button from the Shopping Cart.
5. From within the Shopping Cart, if you're going to pay with a Credit Card, then you would click on the button that says Check Out
6. Only click on the button that says Check out with PayPal if you have a PayPal account.