PCDS Member Registration for the Liberty Dental Conference

Complete the following Registration Form ONLY if you are a PCDS Member and your membership is in good standing...

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2022 PCDS Liberty Dental Conference Registration

Personal Information

Privacy Notice and Terms of Use

By registering for the PCDS Liberty Dental Conference you agree to the below:

PCDS is committed to providing all attendees, exhibitors and guests with an enriching, collegial and respectful meeting experience. PCDS asks that all meeting participants to not engage in discriminatory, harassing, or otherwise offensive or unprofessional conduct towards others while participating in Liberty Dental Conference events. PCDS reserves the right to deny future participation of individuals found to have engaged in such activity. Please address any concerns to any available onsite staff member. Your consideration and cooperation are greatly appreciated.

Privacy Policy:

The Philadelphia County Dental Society is committed to protecting the privacy of visitors to our 2022 Liberty Dental Conference.

Your email address will be used strictly for PCDS business and will not be sold to any outside entity.

When you register for events, CE Courses make requests for information, these types of information collected include: name, address, email address, phone number, credit card information, etc. We use this information you provide only to complete the transaction; we do not share this information with outside parties except to the extent necessary to complete the transaction.

All data submitted via online forms in kept strictly confidential.

Photo Waiver:

I hereby give the PHILADELPHIA COUNTY DENTAL SOCIETY ("PCDS"), the absolute right and irrevocable right and permission with respect to use of my image ("the Property") captured in any 2022 Liberty Dental Conference photos, audio video recordings, video recordings, online photo directory, testimonials, and the like, for such purposes including but not limited to membership recruitment, future meeting announcements, program promotions, social media postings, and marketing and commercial uses approved by PCDS.
All Liberty Dental Conference attendees must agree to the PCDS Privacy Policy and Photo Waiver.

Payment Information

Registration Fees for PCDS Members:

*3 Day Liberty Dental Conference Fee:     $115.00
Processing/Registration Fee:                         $5.00

Total Registration Fee:                                $120.00

*Liberty Dental Conference Fee of $120, includes CE Credits for Friday, Saturday and Sunday, Happy Hour/Dinner Friday evening, Breakfast and Lunch Saturday and Brunch on Sunday.

Parking and Lodging fees are expected to be paid by all attendees.

There is a Room Block at the Fairfield by Marriott located at
261 South 13th Street, Philadelphia, PA 19107
Group Room Rate is $129/night for a standard King Room.  This rate does not include taxes.
To book hotel accommodations, you may do so online here or contact the Fairfield at 1-215-735-7900 and advise that you are booking under the PCDS Liberty Dental Conference Group. Reservations must be made by 8/9/22.

Billing Address

Billing Address same as above:

Payment Method:

Payment by credit card: Please visit our Square Site to complete a secure payment here.

Venmo: @Philcodent

Check: Please mail check to
Philadelphia County Dental Society
c/o Limor Goodman
Attn: Jessica Karpovich
160 Rock Hill Road, First Floor
Bala Cynwood, PA 19004
* Please put PCDS LDC on Memo Line

All payments must be received within seven (7) days of your completed registration or your reservation may be revoked.