Join Us – Dentists

The tuition for RETURNING members is $2,800 and for NEW members its $1,400.

Fill out the form below and select your payment option.

Dentist Registration Form

Name *

Office Address *

Office Address

Office Address

Office Address

City

City

State/Province

State/Province

Zip/Postal

Zip/Postal

Office Phone *

Fax Number

Cell Phone

Email to Office

Personal Email (if different)

Special Dietary Requirements (please specify)

Shirt Size (Men) – S M L XL XXL

Shirt Size (Women) – S M L XL XXL

Tuition - RETURNING members is $2,800 and for NEW members its $1,400

Pay by Check - Make check payable to Shamrock Study Club and send to Robin McLaughlin, Lane Oral Surgery, 30 Resnik Road, Plymouth, MA 02360.

Pay by Credit Card (all Major Credit Cards accepted) - Call Robin McLaughlin at 508-746-8700 with card information.

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