Register/Make Payment Online

Please fill out all fields in the form below.

For Student, Recent Graduate and Early Bird special rates, please contact our Education Coordinator Jennifer Yang

Title
Name
First Last
Business Name
Email Address*
Phone Number
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Course Name (Deposit Options Available)*
Payment Options (You can choose to pay 10% of the tuition as a deposit, or pay in full now)*
- Deposit (10% of Tuition)
- Full Tuition Fee
Course Name
Payment Info
Card Type*
Credit Card*

American Express
Discover
MasterCard
Visa
JCB
Card Number Expiration Date Security Code Cardholder Name
New York AAID Maxicourse*
Price: $22,500.00
New York AAID Maxicourse*
Price: $2,250.00
Las Vegas AAID Maxicourse*
Price: $22,500.00
Las Vegas AAID Maxicourse*
Price: $2,250.00
Surgical Mini Residency*
Price: $19,500.00
Surgical Mini Residency*
Price: $1,950.00
3 Day Surgical & Prosthetic Comprehensive Training*
Price: $3,250.00
3 Day Surgical & Prosthetic Comprehensive Training*
Price: $325.00
3 Day Implant Placement & Bone Grafting on Cadaver Training*
Price: $4,250.00
3 Day Implant Placement & Bone Grafting on Cadaver Training*
Price: $425.00
Bergen County Dental Implant Study Group*
Price: $425.00
Amount*
Initials
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