2009 HOD Presidents' Party RSVP Form

Presidents' Party

Saturday, November 14, 2009 • 7:00 PM - 11:00 PM

Hyatt Sacramento
1201 L Street
Sacramento, CA, 95814


The cost of this event is $65 per person. Please RSVP by November 14, 2009.

Name:   +  Guests
E-mail:
Total cost: $ ($65 per person)
  Check made payable to CDA (Print form and mail* to CDA.)
  Credit card (Your card will be charged for the amount shown above.)
 
Credit Card Type
Your Name on Card
Credit Card Number
Credit Card Expires (MO/YR)
   

* Mailing Address:
California Dental Association
Hilary Bielefelt, 16th Floor
1201 K Street
Sacramento, CA, 95814

If you have any questions, please call or email Hilary Bielefelt at 800.CDA-SMILE (800.232.7645) ext. 4949.