VAGD 2014 CE COURSES
Select a Course
Spring MasterTrack, April 10-12
Fall MasterTrack, October 2-4
Course 2, ACLS Re-Cert, October 16
Course 3, Sedation Update, October 16th
Course 4, Nov. 20- Dr. Corky Wilhite
Course 5, Nov. 21- Dr. Karl Koerner
Grand Total:
Personal Information
*E-Mail:Valid e-mail is required
AGD #:Required for Member Fee
*First Name:
Initial
*Last Name:
Designation
Nickname
*Address Line 1:
Address Line 2:
*City:
*State:
*Zip Code:
*Phone:
Additional Attendees:Additional names and amounts
Reference:AGD Member name, for guests
How did you hear about this course?
Email
Virginia AGD Website
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Previous Course
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*Card Number:No dashes or spaces please
*Expiration Month:From your card
*Expiration Year:From your card
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