2014 mwm complete registration book for website and email

2014

¡carnaval!

2014 Miami Winter Meeting a February 21 & 22, 2014 m a r og cido l!

Jungle Island, r o P ¡ fre añ Miami, Florida o sp e n www.miamiwintermeeting.org e 305 667 3647 Fax: 305 665 7059

We look forward to Welcoming You to the 2014 Miami Winter Meeting where Your ticket is all-inclusive!

Your best value for the money is...

The Full day ticket which provides you with your choice of two lectures, breakfast with Miami Winter Meeting Welcome Mimosa, lunch and the President’s Reception which includes a sumptous buffet, cocktails and live entertainment.

Anticipamos ansiosamente poder darle la bienvenida a la reunión invernal de 2014 (Miami Winter Meeting 2014), ¡donde su ticket incluye todo!

Su mejor opción económica es: La entrada de un día completo, que le proporciona la opción de dos conferencias, desayuno con la Mimosa de cortesía del Miami Winter Meeting Bienvenido, el almuerzo y la recepción de la Presidencia, que incluye un suntuoso buffet, cócteles y entretenimiento en vivo.

Entradas de medio día, que disponen lo siguiente:

Half day tickets, provide you the following: Morning session includes choice of morning lecture, breakfast with Miami Winter Meeting Welcome Mimosa and lunch*. *Tickets for the President’s Reception may be purchased separately. or Afternoon session includes choice of afternoon lecture, lunch and the President’s Reception.

La sesión de la mañana incluye una selección de la conferencia de la mañana, el desayuno con el Miami Winter Meeting Bienvenido Mimosa y almuerzo. *

The exhibits are open all day long and at lunch time, we hope you enjoy the little surprises we have in store for you.

Las exposiciones están abiertas durante todo el día y a la hora del almuerzo.

Esperamos que disfruten las sorpresas que tenemos para usted.

is a Gold Sponsor of the SFDDA

2014 SFDDA Annual Business Meeting Friday, February 21, 2014 12:00-12:30pm SFDDA members are asked to attend this brief meeting following the Friday morning sessions.

The agenda includes the election of the 2014-15 SFDDA Officers as well as any business matters that require the vote of the membership.

Attendance at the SFDDA Annual Business Meeting is free and open only to SFDDA members Please call the SFDDA at (305) 667-3647 for further information.

* Los tickets para la Recepción del Presidente se pueden comprar por separado.

-oLa sesión de la tarde incluye una selección de la conferencia por la tarde, el almuerzo y la recepción del Presidente.

Friday after the lectures are over...

Join your friends and colleagues at the President’s Reception held outside on the Veranda of the Treetop Ballrooms.

Beautiful views of the city and the cruise ships are accentuated by the lovely Miami sunset.

Listen and dance to live latin music and enjoy delicious food and cocktails.

It’s the perfect ending to the perfect day sponsored by

Platinum Sponsor of the SFDDA:

El viernes después de las conferencias... Únete a tus amigos y colegas en la Recepción del Presidente, que se celebra afuera en la terraza (The Veranda) de los salones de baile de Tree Top Ballroom.

Hermosas vistas de la ciudad y los barcos de crucero son acentuados por la hermosa puesta de sol de Miami.

Escuche y baile con música latina en vivo y disfrute de la deliciosa comida y los cócteles. Es el final perfecto para un día perfecto patrocinado por:

Friday - February 21, 2014 The Logical Approach to Implant Dentistry… Evidence-Based Implementation of Simple & Practical Implant Dentistry… Using Short, Narrow, Platform and Mini Implants” Speaker: Jose-Luis Ruiz, D.D.S. English 8:30 am - 12:00pm CODE: RUIZ-AM English 3.0 CE Credits

“Planteamiento Lógico para el Implante Dental”... “Odontología de Implantes Simples y Prácticos basados en Evidencias Científicas”... “Utilización de Cortos, Estrechos y Mini Implantes e Implantes con Plataforma o Bases” Orador: Jose-Luis Ruiz, DDS Español 2:00 pm - 5:00pm Codigo: RUIZ-PM Español 3.0 CE Credits

Dirigido hacia los Dentistas Generales, Asistentes Dentales

Recommended for: Dentists , Dental Assistants

Patients today are no longer willing to have their teeth sanded down for fix bridges; implant dentistry is here to stay. The demand for implants is growing exponentially,… it is the fastest growing area in dentistry. It is clear that implant dentistry is not the domain of specialist, the demand is too great. Similar to extracting teeth, GPs and restorative dentist should perform the majority of implant procedures and refer the difficult cases to the specialist. Implant dentistry should not be only a privilege for the rich and famous. In this practical workshop Dr. Ruiz will present the most logical system to select, place and restore simple implants in normal to narrow bone. He will also discuss ways to make it more affordable for the patient. These techniques can be implemented immediately, and are in accordance with provisions placed by the 2010 Guidelines of the Academy of Osseointegration. Dr. Ruiz will also explain how to avoid unsatisfactory results.

Placing and restoring implants in normal to narrow bone without bone augmentation grafts is an indispensable skill, which will increase you bottom line at least 20 to 30% each year.

At the end of this course you will: • Know how to choose between regular, narrow and mini-implants.

• Know a real world approach for lowering cost and make it more affordable to patients.

• Know what x-rays and records are really necessary.

• Know when and how to use surgical templates.

• Understand simple surgical procedures to insure safe and predictable results.

• Know when it is better to refer.

Our Lectures... provide an opportunity for the entire dental team to have a great educational experience.

This year most lectures are offered in English and Spanish

Don’t leave anyone out - bring the entire team!

Hoy en día los pacientes prefieren no rebajar sus dientes en preparación para puente fijo; los implantes están siendo aceptados muy bien. La demanda de implantes esta creciendo de manera espontánea ...actualmente es el producto con más aceptación clínico en la odontología.

Debido a que la demanda es tan grande, se está viendo que los implantes no es del dominio del especialista solamente. Como es aceptado con extracciones, los dentistas generales deben rendir varios procedimientos de implantes y referirles a los especialistas los casos mas difíciles, del mismo modo la opción de implantes no debe ser limitado a ricos y célebres. En esta conferencia práctica , Dr. Ruiz presentará el sistema mas lógico para seleccionar, poner y restaurar implantes simples donde existe una arquitectura de hueso estrecho o normal. También se presentará como los implantes pudieran ser mas asequible para los pacientes .Todas las técnicas se podrán implementar inmediatamente, y de acuerdo con las estipulaciones delineadas por las directrices del

2010 de la Academy of Osseointegration. Dr. Ruiz también explicará como evitar resultados pocos satisfactorios. Posesionando y restaurando implantes con un hueso de arquitectura normal o estrecho sin injerto de hueso, esto es una habilidad indispensable, que aumentaría sus ganancias económicas en un 20% o 30% anualmente.

Al final de este curso usted: • Aprenderá a seleccionar entre implante regular, estrecho y mini-implante.

• Como enfocar el costo real de una forma razonable que este más al alcance de los pacientes.

• Saber cuales son los rayos x e información realmente necesaria. Saber el uso de cuando y como usar una plantilla quirúrgica.

• Entender procedimiento quirúrgicos simples que suministren resultados de una manera segura.

• Saber cuando es mejor enviarlo a un especialista.

Nuestras conferencias ... proporcionan una oportunidad para que todo el equipo dental pueda adquirir una gran experiencia educativa.

Este año la mayoría de las conferencias se ofrecen en inglés y español.

No dejar a nadie fuera, ¡ lleven todo el equipo!

Friday February 21, 2014 “Leyes Laborales” Orador: Ena T. Diaz, P.A. Dirigido hacia los Dentistas

Español 8:30 am - 12:00pm Codigo: DIAZ-AM Español 3.0 CE Credits

La administración de recursos humanos y la comprensión de la leyes laborales federales y estatales es un componente importante de la función de una oficina o de cualquier negocio.

Desafortunadamente este sujeto no esta incorporado en el plan de estudios de las escuelas de odontología. La falta de conocimiento en este sujeto no le salvara de pleitos legales y puede causar un fracaso financiero en su negocio.

Esta conferencia le delineara los puntos para seguir y los puntos para seguir en el manejo de los asuntos que puedan surgir con sus empleados incluyendo temas de salarios, beneficios, vacaciones, tiempo de enfermedad, enfermedades prolongadas y muchos otros temas. Lograra obtener un entendimiento de como acatar las leyes de labor.

“A Guide to Employment Law and How it Relates to your Practice” Speaker: Ena T. Diaz, P.A. Recommended for Dentists

English 2:00 pm - 5:00pm CODE: DIAZ -PM English 3.0 CE Credits

Human resource management and understanding state and federal labor laws is an important component of running any business. Unfortunately this subject is not usually part of the dental school curriculum. Lack of knowledge will not save you from lawsuits which can be financially disastrous to your practice.

This course will teach you the do’s and don’ts of effectively managing employment issues from employee pay, to employee benefits, vacations, sick time, long term illnesses and more. You will come away with a great understanding of being an employer and compliance with the laws that govern labor in the state.

Back by Popular Demand...

“Creando un Equipo de Trabajo Sobresaliente” Orador: Cristina Schnieder y Karina Boncristiano Dirigido hacia los Dentistas y su equipo dental

“How to Build an Outstanding

Team” Speaker: Cristina Schnieder and

Karina Boncristiano Recommended for Dentists and staff

Español 8:30 am - 12:00pm Codigo FORT-AM Español

English 2:00 pm - 5:00pm CODE: FORT-PM English

3.0 CE Credits

3.0 CE Credits

Esta conferencia se enfoca en los conceptos de como crear una visión de una oficina donde cada miembro del personal tiene un sentido de propiedad. Se explicara como establecer unos principios de trabajo que funcionen para lograr esa visión para todos involucrados en el manejo de la oficina odontológica. Los conceptos mas avanzados en el sujeto de comunicaciones apoderan a tu equipo laborable para avanzar sus habilidades comunicativas a un nuevo nivel que proveerá una afinidad mas positiva dentro del centro de trabajo. * Como contratar a un empleado con éxito desde un principio * Formas de mantener las juntas de personal enfocadas en solucionar problemas * Métodos para convertir un empleado quejum broso en un empleado dedicado y entregado a su trabajo * Formularios para reducir la tensión dentro del centro de trabajo y regresarle la diversión a la practica de la odontología

This team building workshop covers specifically how to create a shared vision where the whole team has ownership in the practice, as well as how to establish a set of operating principles that serve to further the fulfillment of the shared vision. The most cutting edge material available in the area of communications will empower the team to take their communication skills to a whole new level, thus adding an additional dimension to the relationships on the team. * How to hire right the first time * Keep staff meetings focused on solutions * Change a complaint employee into a committed employee * Reduce office stress and bring the fun back into dentistry sponsored by:

Enjoy shopping the Miami Winter Meeting Fragrance and Cosmetic Counter featuring these fine fragrances and cosmetic lines courtesy of Macy’s.

Prada, 1 Million, Carolina Herrera, Angel, Alien, A Men, Mont Blanc, Jimmy Choo

Friday February 21, 2014 “ Implants: Cracking the Code” Speaker: Alan E. Friedel, D.D.S. Recommended for: Dentists, Adminsitrative Staff

Meeting Challenges of Periopathogen Management” Speaker: Alan E. Friedel, D.D.S. Recommended for: Dentists, Hygienists

sponsored by:

Speaker: Adela

8:30 am - 12:00pm CODE: FRIE-AM

2:00 pm - 5:00pm CODE: FRIE-PM

3.0 CE Credits 3.0 CE Credits

Insurance carriers have begun paying benefits for implants. Course goals include acceptance of claims by insurance companies and case acceptance by patients. Participants will understand how to properly code for all phases of implant therapy, including surgery, temporization and definitive restorations. Clinical and business staff will also learn how to present complex treatment plans to patients in a clear, understandable way.

There are many hotels located near Jungle Island

Hygiene Department: Road Map to Peak Peformers: A Business Map for the Hygiene Department To Take You From Where You Are to Where You Want to Be."

Effective periodontal therapy requires regular management of periopathogens prompting localized inflammatory responses, not an easy task for millions of patients with persistent periodontal diseases. This presentation offers a scientific look at subgingival biofilms and a therapeutic method that integrates debridement and scaling with prescription tray delivery of medication. When held in place with the specially customized tray, the medication lyses bacterial cell walls and changes the microenvironment of the sulcus through oxygenation. The overarching goal is ongoing management of subgingival biofilms and optimal oral health. Importantly, the technique does not rely on antibiotics, resistances to which are at critical levels. Offices implementing the method report better patient outcomes and additional revenue.

Please note that if you will be needing Some Suggestions: hotel accomodations, you must book Holiday Inn early as there is NO guaranteed room 340 Biscayne Blvd block for the Miami Winter Meeting.

Miami, FL 33132 For more hotel information please 1-305-371-4400 check online www.miamiandbeaches.com Courtyard by Marriott Click on “places to stay” Coconut Grove Look for hotels in Coconut Grove, 2649 South Bayshore Drive Coral Gables, Downtown Miami and Miami, FL 33133 South Beach areas.

1-305-858-2500

Mills,CDA, RDH, BASDH

“Departamento de Higiénistas: Guía de Rendimiento Superior que Puede llevarlos de Donde Está a Donde Usted Desea Estar”

Orador: Adela Mills,CDA, RDH, BASDH Dirigido hacia los Dentistas, higienistas, asistentes

sponsored by

Español 2:00pm - 5:00pm Codigo: MILLS -PM

Recommended for: Dentists, Hygienists, Dental Assistants

English 8:30 am - 12:00pm CODE: MILLS-AM 3.0 CE Credits

The Hygiene Department is the driving force for every modern-day dental office. In this seminar, Adela Mills-Lopez, Hygiene Mastery Executive Coach, will show you what they do not teach you in school!

-You are great clinicians - now learn strategies and tips on how to be a great CEO of a busi ness within a business.

- Embrace the most modern business model for a peak performing hygiene department - Identify 10 essential destinations on your hy giene department road map that are imper ative to success - Learn how to measure, track, and interpret key measurements in the hygiene depart ment.

3.0 CE Credits

La labor de los higienistas es una fuerza impulsora que hoy en día afecta las oficinas odontológicas. En este seminario, Adela Mills-Lopez, entrenadora ejecutiva para la maestría de Higiene Odontológica, le mostrará lo que no logró aprender en la escuela.

- Un gran profesional en su trabajo - ahora logra aprender estrategías y consejos de como ser un “CEO” de un negocio dentro de otro.

- Recibe un modelo de negocio ultramoderno para un máximo rendimiento en la profesión de higiénista.

- Identifique 10 metas esenciales que son imperativas para lograr éxito dentro de su carrera como higiénista.

- Aprenda a medir, trazar e interpretar, medi das claves en el departamento de higiene odontológica.

Bring the Family!

Hyatt Regency 400 S.E. 2 Avenue Miami, FL 33131 1-305-358-1234

Visit all the animals and birds at Jungle Island.

Attendees receive special discount on park tickets!

Call (305) 667-3647 for details.

Friday February 21, 2014

SATURDAY February 22, 2014 State Mandated Courses for Re-Licensure

“Educating Dentists and their Assistants on the Art of Temporizing Dental Implants” Speaker: Rick Ferguson,D.M.D. Recommended for: Dentists, Dental Assistants

8:30am - 12:00am CODE: WSHOP-AM

Registration Deadline to receive badges and tickets in the mail : January 12, 2013

“Medical Errors” Speaker: Richard Mufson, D.D.S. Recommended for: Dentists, Hygienists

Still haven’t taken this mandatory course to renew your license?

This may be your last chance! Register today.

9:00am - 11:00am 2.0 CE Credits

REGISTRATION

CODE: MAND

Co-sponsored by:

Once your registration forms are received and processed, your badge(s) and tickets will be sent by mail to the address on the registration form.

No one will be admitted to any lecture or to the exhibit hall without the proper credentials. You must have the correct ticket for the day you are attending, you will not be admitted to the MWM if you are not registered for that day.

3.0 CE Credits

CHANGES TO YOUR REGISTRATION Modern dental implant therapy relies on temporary restorations which serve as protoypes for the final restorations as well as to help develop subgingival soft tissue contours for long term functional and esthetic success. Properly made temporaries can protect the immature peri-implant structures and are a key step in the fabrication of the final restorations.

In this program the dentist and dental auxiliary team members will learn to fabricate temporary implant restorations which can be easily removed for try in of final restorative components and/or adjusted as necessary to change soft tissue and esthetic factors.

Several types of temporary restorations including screw retained, cement retained, splinted full arch and single restorations will be discussed along with the pros and cons of each. The program will consist of a lecture followed by a hands-on portion in which participants will fabricate temporaries on implant abutments. Clinical pearls to reduce chair time and improve outcomes as well as materials, will be discussed during this technique course.

Be our guest Enjoy a Miami Winter Mmm.....

Cuban Cafecito, Cappuccino, Cortadito or Cafe au lait !

Saturday, February 22, 2014 11:30am

Graduating Students, and Residents

What Happens Now!

If you must change your registration after it has been received, please call the office at (305) 667-3647. Any badges/tickets that may have already been mailed must be returned before any changes are made.

DENTISTS MUST REGISTER AS DENTISTS. Spouses who are dentists cannot register as a spouse.

LOST OR FORGOTTEN TICKETS If you have lost your tickets or left them behind you must pay full price for the replacement tickets/badges at the Customer Service Table at the event. If your tickets/badges are later found and returned to the SFDDA, a refund will be issued.

PAYMENT & REFUND POLICY

Enjoy a Wine and Cheese Brunch and join in a frank discussion with our panel of veteren dentists and dental industry leaders who have been there and done that.

This 2nd annual event will take you from solo practice to partnerships, from renting space to corporate dentistry, our panel will talk openly about the pros and cons of the different practice models in order to help you as you endeavor into the real world of your profession. email: ymarrero.sfdda@gmail.com to register co-sponsored by:

All fees payable in US funds on US Banks. Do not mail cash. Online payments accepted.ALL requests for refunds or cancellations to the Miami Winter Meeting must be received in writing and tickets returned prior to February 1, 2014.

No refund will be issued after February 1, 2014.

Program and/or events are subject to change.

CONTINUING EDUCATION CREDIT An individual certificate of attendance will be given to each attendee for each course completed. C.E. Credit will appear on these forms if the course is deemed accredited.

SFDDA- Florida PP# 0004

2014 Miami Winter Meeting Speakers Jose-Luis Ruiz, DDS Dr. Ruiz is the Director of the Los Angeles Institute of Clinical Dentistry, and former Director of the “University of Southern California’s Esthetic Dentistry Continuum” from 2004-2009. He is an Associate Instructor at Dr. Gordon Christensen’s PCC in Utah, as well as an independent evaluator of dental products for CRA. He is Fellow of the Academy of General Dentistry. Dr. Ruiz was named as one of the “Top Clinicians in CE in 2005-2013” by Dentistry Today. He has made numerous television appearances highlighting his Esthetic Dental makeovers, including NBC Channel 4 News, ABC’s Vista La and Channel 52’s Telemundo.

Richard A. Mufson, DDS Dr. Mufson is an oral and maxillofacial surgeon in private practice in North Miami Beach, FL. A graduate of Temple University School of Dentistry in Philadelphia,PA, post-graduate residency training at GeorgetownUniversity Medical Center in Washington, D.C., and a Diplomate of the American Board of Oral and Maxillofacial Surgery. Dr. Mufson has lectured extensively on the topic of HIV/AIDS and Other Infectious Diseases, in addition to other state mandated courses, Laws and Rules of Dentistry, Medical Errors and Risk Management. He is also Past President of the South Florida District Dental Association and Florida Society of Oral and Maxillofacial Surgeons.

Karina Boncristiano As a former corporate executive, Karina brings more than fifteen years of corporate working experience in the areas of sales and customer service.

During her tenure as Global Customer Service Director for a technology corporation, Karina was introduced to coaching, as one of the necessary skills to lead effectively high performance teams. Karina she concluded her bachelor degree in International Business by a renowned university in Sao Paulo and received her professional coaching certification from University of Miami and since then, coaching became her passion. Karina’s ability to partner with her clients to transform average healthcare practices into highly effective ones is one of her main strengths.

Cristina Schneider As an experienced dental professional—one who ran her own practice— Cristina Schneider brings an expert understanding of the industry to her role as a Fortune Management coach.Cristina, who earned her DDS degree in Brazil and started a practice in Curitiba, brings nearly 15 years of in-depth perspective to Fortune—hands-on insight that leads to informed solutions for dentists seeking to enhance their practices. After moving to the United States in the late 1990s, Cristina expanded the scope of her expertise, working as a dental assistant, treatment coordinator and hygienist at a renowned dental office in Miami. In the years since, she has worked at dental offices throughout South Florida, further developing her strengths in the areas of patient retention and treatment development.

Rick Ferguson, DMD Dr. Rick Ferguson lectures throughout the world on a variety of implant surgery and restorative topics. He is the director of Implant Educators which runs a seven month program teaching general dentists and specialists how to become implantologists. Dr. Ferguson is a Diplomate of the ICOI, an Associate Fellow of the AAID, clinical assistant professor at the University of Florida and a visiting lecturer at the University of Miami. Dr. Ferguson has taught implant dentistry and hands-on bone grafting courses which have been attended by thousands of dentists over the last 16 years. He is currently in private practice in Davie, Florida Alan E. Friedel, DDS Alan E. Friedel, DDS is a graduate of New York University college of Dentistry.

He is a general dentist in full time private practice and Past President of the Florida Dental Association. Dr. Friedel was a member of the ADA Code Revision Committee for nine years and its chairman for six of those years. This experience gave him a unique understanding of dental coding from the perspective of a dental office and from an insurance company. Dr. Friedel provides consulting services to individuals who wish to add to or amend the CDT codes and continues to attend the annual meetings of the ADA Code Maintenance Committee. Dr. Friedel has been a certified provider of PerioProtect® Trays since 2012. He is a Consultant, Strategic Development for PerioProtect®, and developed their express webinar training course. Dr. Friedel has seen improvements to the periodontal health of his patients since incorporating this chemical treatment of biofilm disease into his practice.

Ena T. Diaz, P.A. Ms. Diaz is AV Preeminent rated by Martindale--‐Hubbell. She earned her law degree with honors from Southern Methodist University and received her undergraduate degree from Duke University. She is a frequent speaker at programs and seminars on employment law matters. Ms. Diaz also serves as a mediator and arbitrator on employment law matters. She is a certified Circuit Civil Mediator by the Florida Supreme Court and a certified mediator by the U.S. District Court, Southern District of Florida.

Adela Mills, CDA, EFDA, RDH, BASDH With over 33 years of dental experience, Adela brings a wealth of insight and knowledge to the table in her role as an Executive Coach with Hygiene Mastery. Her super networking abilities and people skills have gained her a reputation as a trusted ally and valued resource to the dental practices she serves. Adela has expanded her dental clinical skills with her experience as a Certified Dental Assistant, Registered Dental Hygienist, Dental Insurance Provider Relations Manager, Dental Office Administrator, Dental Educator, and Program Director. Adela earned her AS in Dental Hygiene from Miami Dade College, her Bachelor’s Degree in Dental Hygiene and Education from St. Petersburg College, and is presently pursuing a Master’s Degree in Education at Florida International University.

The 2014 Miami Winter Meeting is made possible with the help of these fine sponsors:

SFDDA Platinum Sponsor

SFDDA Gold Sponsor

SOUTH FLORIDA DISTRICT DENTAL ASSOCIATION, 420 SOUTH DIXIE HIGHWAY,SUITE 2E, CORAL GABLES,FL 33146 (305) 667-3647 (800) 344-5860 FAX: (305) 665-7059 WEBSITE: SFDDA.ORG

1

Primary Registrant- 2014 Miami Winter Meeting Name _________________________________________________________________________________________________________________________________________________________________________ check one: ( ) DDS ( ) DMD ( ) RDH Mailing Address __________________________________________________________________________________________________________________________________________

City ___________________________________State _____ Zip ________________

Office use Only: Received: ___________

Phone: _____________________________________ Fax: __________________________________

Registered: __________ Email: __________________________________________________________________________________________________________________________________________________

Mailed: _____________

Friday Full Day Program:

MORNING COURSES

Choose -One a.m. AND One p.m. course Before After 1/15/14 1/15/14

February 21, 2014 Friday Morning Sessions (8:30am - 12:00pm) Breakfast & Lunch RUIZ-AM (English)

___

$280

DIAZ-AM (Español)

___

$410

$435

MILLS-AM (English)

___

$255

$280

FORT-AM (Español)

___

___ SFDDA MEMBER

$205

$230

___ FDA/ADA Member

$255

___ Non Member ___ Full Time Faculty

Friday Half Day Program: Choose - One a.m. OR p.m. course only

FRIE-AM Coding Lecture (English Only) ___

WSHOP-AM (English)

Code: MAND (Dr. Richard Mufson) Saturday 2/22/14 9:00am - 11:00am Before 1/15/14

After 1/15/14

___ SFDDA MEMBER

$100

$125

___ All Others

$200

$225

___

AFTERNOON COURSES President’s Reception Only ___$75

February 21, 2014 Before After 1/15/14 1/01/14

February 22, 2014 (Must be purchased separately unless purchased as a combo for SFDDA Members) Saturday Morning Courses (9:00am - 11:30)

Friday Afternoon Sessions (2:00pm - 5:00pm) Lunch and Reception

___ SFDDA MEMBER

$102

$130

RUIZ-PM (Español)

___

FORT-PM (English)

___ FDA/ADA Member

$125

$150

DIAZ-PM (English)

___

___ Non Member

$205

$230

___ Full Time Faculty

$125

$150

MILLS-PM (Español)

___

FRIE-PM Perio-Protect Certification (English Only)

___

___

EXPO ONLY ___ $75 Can be used Friday or Saturday

Saturday, 2/22/14 11:00am Dentists attending Student Event ___ $45 Primary Registrant

Jungle Island is located off of I-395 between Downtown Miami and South Beach.

Directions will be provided with your registration confirmation.

Instructions on Filling out registration form:

*SFDDA Members Only Combo Packages!

Must Register before 01/15/14 ___ Saturday MAND & Friday FULL DAY Only $280 Choose an a.m. AND p.m. lecture ___ Saturday MAND & Friday HALF DAY Only $175 Choose one a.m. OR one p.m. lecture

Sub Total: $______________________

Choose full day, or half day ticket. Full day? Select a morning and an afternoon lecture. Half day? Choose either a morning lecture or an afternoon lecture.

The primary registrant is on green page (1) and staff or spouse on blue page (2). Please make as many copies of page two as needed to register additional staff or spouse. You need only fill in the primary registrants name on the additional copies. Regardless of the number of second pages used to register additional attendees, please use only blue page to write in final tally and provide payment information. Please call (305) 667-3647 if you have any questions regarding registration.

Cut here for faxing or copying

Additional Staff or Spouse

2

(copy page as needed for each additional registrant)

Name _______________________________________________________________________________________________________________________________________________________________________________

Check one: ( ) Hygienist (

) Dental Assistant ( ) Front Desk ( ) Spouse

Name of Primary Registrant (From Section1 ) _____________________________________________________________________________________________________________________________________________

Friday Full Day Program:

Friday February 2, 2014 MORNING SESSIONS Morning Sessions (8:30am - 12:00pm) Breakfast & Lunch

Choose -One a.m. AND One p.m. course Before After 1/15/14 1/15/14 ___ SFDDA Staff /Spouse

$ 80

$105

___ All others

$105

$130

RUIZ-AM (English)

___

DIAZ-AM (Español)

___

___ SFDDA Staff /Spouse

$ 50

$ 65

___ All others

$ 65

$ 90

Code: MAND (Dr. Richard Mufson) Saturday 2/22/14 9:00am - 11:00am Before 1/15/14

After 1/15/14

___ SFDDA Staff

$100

$125

___ All Others

$200

$225

WSHOP-AM(English Only) ___ MILLS-AM (English)

___

FORT-AM (Español)

___

Friday Half Day Program: Choose - One a.m. OR p.m. course only Before After 1/15/14 1/15/14

FRIE-AM Coding Lecture (English Only) ___

February 22, 2014 (Must be purchased sepertely*) Saturday Morning Sessions (9:00am - 11:30)

Friday February 2, 2014AFTERNOON SESSIONS Afternoon Sessions (2:00pm - 5:00pm) Lunch and Reception RUIZ-PM (Español)

___

FORT-PM (English)

___

DIAZ-PM (English)

___

MILLS-PM (Español)

___

FRIE-PM Perio-Protect Certification (English Only)

___

President’s Reception Only ___$75 EXPO ONLY ___ $75 Can be used Friday or Saturday

Additional Registrant

ONLINE REGISTRATION AT WWW.MIAMIWINTERMEETING.ORG Mail Registration forms with check (payable to SFDDA) to: SFDDA, 420 South Dixie Hwy, Suite 2E Coral Gables, FL 33146 or if paying by credit card, please fax (305) 665-7059

Sub Total: $___________________

Miami Winter Meeting Charges appear on your credit card statement as East Coast District Dental Society

VISA

MASTERCARD

DISCOVER

Card # ______________________________________________________________________exp. date: __________

Name on Card _______________________________________________

Billing Zip Code _______________

Signature__________________________________________________

Security Code _____

Total for Primary Registrant:

$______________

Total for additional Registrant(s)

:$______________

Grand Total :

$______________

If you have more than one additional registrant, please attach additional sheets and place the grand total on one page.