Drive to 75 Conference Registration Form

2008 Recruitment and Retention Conference

California Recruitment and Retention Conference
September 26 & 27, 2008
Sacramento, California

We read your evaluations, listened to your suggestions and are excited to announce that this year's conference will feature:

  • More opportunities for "best practices" sharing
  • More hands-on recruitment training for volunteers
  • More renowned speakers to enlighten us all 
  • And much more!

To help prepare for the conference, we would appreciate feedback from you regarding your membership successes and challenges.

1. What has been a successful recruitment and/or retention effort you completed this year?

2. What is a recruitment and/or retention challenge you are currently facing?

Drive to 75 Conference Registration:

The cost of registration and travel for up to three members or staff per component will be provided by CDA. There is a $175 registration fee for each additional participant (travel costs for additional participants will not be provided by CDA). For travel arrangements, please contact Sandy Frank at sandy.frank@cda.org or 800.232.7656 ext 4950.

To register for the Drive to 75 conference, simply complete the registration form below and click on the "SIGN UP" button. The registration deadline is Friday August 29, 2008.

Registration Information
Component name:
Participant 1:  
Registration Type
Title
First Name *
Last Name *
Name for Badge
Mailing Address
 
Phone
Fax
E-mail *
Food restrictions/ allergies
Participant 2:  
Registration Type
Title
First Name *
Last Name *
Name for Badge
Mailing Address
 
Phone
Fax
E-mail *
Food restrictions/ allergies
Participant 3:  
Registration Type
Title
First Name *
Last Name *
Name for Badge
Mailing Address
 
Phone
Fax
E-mail *
Food restrictions/ allergies
Additional Participant 1: $175 registration fee (Travel costs will not be provided by CDA.)
Registration Type
Title
First Name *
Last Name *
Name for Badge
Mailing Address
 
Phone
Fax
E-mail *
Food restrictions/ allergies
Additional Participant 2: $175 registration fee (Travel costs will not be provided by CDA.)
Registration Type
Title
First Name *
Last Name *
Name for Badge
Mailing Address
 
Phone
Fax
E-mail *
Food restrictions/ allergies
Additional Participant 3: $175 registration fee (Travel costs will not be provided by CDA.)
Registration Type
Title
First Name *
Last Name *
Name for Badge
Mailing Address
 
Phone
Fax
E-mail *
Food restrictions/ allergies


Payment Information (mandatory)

1-3 Component Participants: $0 (All costs covered by CDA.)
1 Additional Participant: $175 registration fee (Travel costs not provided by CDA.)
2 Additional Participants: $350 registration fee (Travel costs not provided by CDA.)
3 Additional Participants: $525 registration fee (Travel costs not provided by CDA.)
Member of the Dental Forum: $175 registration fee (Travel costs not provided by CDA.)
Member of a Specialty Organization: $175 registration fee (Travel costs not provided by CDA.)

   
SECURE ONLINE PAYMENT:
To attend the Recruitment and Retention Conference, complete your credit card information and click "SIGN UP." This will authorize CDA to charge your credit card account for the amount indicated above and your online registration will be complete.
Credit Card Type
Your Name on Card
Credit Card Number
Credit Card Expires (MO/YR)
 
    

 

Or make check payable to CDA: California Dental Association
Attn: Jillian Hayes, Membership Department
1201 K Street, 14 floor
Sacramento, CA 95814


For additional information regarding the meeting, please contact Torrey James at torrey.james@cda.org  or call 800.232.7645 ext 4946.