Registration Instructions

Please complete the two-step registration process:

1. Fill out the simple online registration form below.

2. Once your form is complete click “Complete Registration”.

3. Once you have completed registering for the event, you will be able to complete payment via PayPal.

Cancellation policy: You may request to cancel your registration minus a $25 processing fee for up to 7 days before the date and time of the event, or you may transfer your full registration cost to a future ORAPT training. Cancellation requests within 7 days of the event may ONLY have full registration cost transferred to a future ORAPT training. When you register for a class, you agree to these terms. Please send all registration questions or cancellations to orapt.info@gmail.com.

Name

First Name

Last Name

Phone

(###)

###

####

Email Address

Conference Title

Billing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Mailing Address (if different than billing address)

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Status

APT/ORAPT Member

Professional/Non-member

Student

How did you hear about this event?

Website

ORAPT Email

ORAPT Mailing

Personal Reference

Received Brochure at another event

Other

Training Registration

Registration Instructions