The Ögram System
The Atraumatic Tooth Extraction
Technology for the 21st Century
The only atraumatic exodontia course of its kind!
Tooth Extraction - The Ögram System is an Advanced Non-Invasive Bioengineered
Micro-Motion Exodontia Technology for the Modern Dental Practice
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2011 Registration Form

Each course date listed below will be a one-day lecture and participation course including skulls, models and instruments.  Each class will be limited to 20 dentists.  Gunnar Philipp, developer of the Ögram System, will be the speaker.

To attend an upcoming course, please fill out the registration form below to register electronically or register by fax or phone.  Tuition payment can be made by check, Visa or MC. 

Payment by check: submit a deposit of $350.00 for each dentist attending with the balance due payable by check at the course; or submit the full tuition amount. We must receive your check within 7 business days after your registration. Please include a copy of your registration form along with the check.

Payment by credit card: call our office with the credit card information (940-382-8922).

Written confirmation, with course location, will be mailed to you shortly after receipt of your registration and payment. Please call our office with any questions.

Doctor Tuition: $585

Chairside Assistant/Auxiliary: $125 (highly recommended)

Audit Fee: $395 (only for dentists who have previously attended our course)

Registration: 8:00 am to 8:30 am

Course time: 8:30 a.m. to 5:30 p.m. (course time 8 hours-participation)

Lunch is included

8 Hours Participation CE;  Advanced PACE Program Provider: FAGD/MAGD Credit;  State CE*; The Ögram Course CE Certificate; Course Syllabus

Please provide the following contact information: Hit the Tab button to skip to the next field.

Your Name
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
FAX
E-mail

Choose one of the following Dates and Locations: 


Attendees:                                                                        Choose one of the following options:

Doctors Name:

Doctors Name:

Doctors Name:


Auxiliary Name:

Auxiliary Name:

Auxiliary Name:

*    State CE where applicable
Refunds: All tuition paid will be refunded in full should we cancel the course you have scheduled.  Participants cancellations or no shows are not refundable, however, tuition payments made will be applied toward our future course dates in the U.S.A.