To register, please print a copy of this message, fill out the form below,
and return by November 29, 2014.
Member Registration - $50
Non-Member Registration - $75
Member Registration rates
go to www.adha.org and
check NOT A
MEMBER? APPLY NOW!
City, State, ZIP:
Alternate Phone (Work or Cell):
mail this form and a check made payable to "WDHA" to
Ruthann Zamarro, RDH Questions call Ruthann at:
341 Salisbury St
Worcester, MA 01609