Advanced Laser Hygiene’s
Diode and Waterlase Hygiene Seminar
Presented by: Gloria E. Monzon, R.D.H.

Office Phone: (408) 262-8708
Gloria's Cell: (408) 832-0043
Fax: (928) 222-8708

Email: laserglo@comcast.net

www.advancedlaserhygiene.com

To register, please complete and post mail to
684 Princess Place, Milpitas CA 95035.

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Doctor’s Name

Course Fee
1.  
Hygienist’s Name  
1  
2  
3  
Assistant & Office Staff Name  
1  
Assistant & Office Staff Name  
1.  
Total.
$
Waterlase & Diode Tuition
$1295.00* per D.D.S. or R.D.H.
$700.00* per Clinical or Admin.
 

 Diode Course Tuition
$1095.00* per D.D.S. or R.D.H.
$700.00* per Clinical or Admin.


Advanced Laser Technique and Application Course
$1295.00* per D.D.S. or R.D.H.
Please complete and post mail to 684 Princess Place, Milpitas CA 95035.

Enclosed is my check for $_________________ made payable to: Gloria E. Monzon, R.D.H.
No credit cards, please.      Please mail to:    684 Princess Place    Milpitas, Ca 95035

Doctor/Co. Name

 
Address  
City, State & Zip  
Daytime Phone  
Evening Phone  
Fax & Email  
Your Laser Model  
Desired Course Date  

Minimum class size is 8 attendees and maximum of 25.   Class size is limited. Early registration is strongly recommended. Your payment secures the requested class date. Cancellation within 14 days of seminar, are accommodated with a one time transfer of deposit to a future seminar.

Advanced Laser Hygiene
All Inclusive Diode Laser Seminar for Your Hygiene Team
Presented by Gloria E. Monzon, R.D.H

Office Phone: (408) 262-8708         Cell: (408) 832-8708
Fax: (928) 222-8708          Email:
laserglo@comcast.net