SAVANNAH GRITS & NACHOS REGISTRATION

1) CHOOSE YOUR TICKET TYPE!

Registration Type (Choose One)

Doctor - Early Bird Ticket (Until 11/30) ($1,088.00)
Military Doctor - Early Bird Ticket (Until 11/30) ($988.00)
Military or Civilian Doctor on Base OR 2022-2023 Grad.
Team Member - Early Bird Ticket (Until 11/30) ($588.00)
Sponsor Ticket ($1,000.00)

Thursday Pre-Conference Courses Included

Complimentary THURSDAY Pre-Conference Sessions (2:30 PM - 5:30 PM)

2) TELL US ABOUT YOU

Designation (DDS, DMD, etc.)

Name

Phone Number

Practice Name

Practice Address

Practice URL

3) TERMS, CONDITIONS, AND CONSENT

Whom May We Thank for Referring You and Your Team to Our Conference?

Where Did You 1st Hear About Our Conference?

Terms, Conditions, & Cancellation Policy*

Check This Box to Confirm You've Read & Agree To The TERMS AND CONDITIONS For Attending Savannah Grits & Nachos.

Consent for Collecting Personal Data*

1. I consent that video(s) and/or photo(s) taken of me during the event/meeting may be used in future communication, print or online.

2. I consent that my name and contact details are published in the list of participants of this event and may be shared with event Sponsors and Savannah Grits & Nachos partners.

SUB TOTAL

$1,088.00

Received a Coupon Code?

TOTAL

$1,088.00

4) BILLING INFORMATION

Name

Credit Card

Visa
Mastercard
American Express
Discover

Address

Mobile Phone Number

* BOOK YOUR HOTEL ROOM TODAY *

Click HERE to book your hotel room at The DeSoto Savannah, GA and enjoy our special discounted group rates.

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