2023

2023 PCDS LIBERTY DENTAL CONFERENCE REGISTRATION

The form below is a universal registration form; no matter what class of registration you are under, you can register on the form below. It is broken down into five (5) different registration categories (PCDS Members, PDA/ADA Members, Non-Member Dentists, Dental Staff and Student/Residents). Please follow the payment information for your selected category. You will be directed to a separate website to process payment for registration, PLEASE MAKE SURE TO SUBMIT YOUR REGISTRATION FORM. Any issues with completing registration, please contact Lisa GottliebTHANK YOU FOR YOUR REGISTRATION!

2023

2023 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 2023 Liberty Dental Conference.

Your email address and contact information will be used strictly for PCDS business and made available to all sponsors for this event, but will not be sold to any outside entity.

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 2023 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 2023 Liberty Dental Conference are broken down into the following categories:

  • PCDS Member (You are a member of the Philadelphia County Dental Society)
  • ADA/PDA Member (You are not a member of the Philadelphia County Dental Society, but you are a Dentist and a member of either the PDA or ADA)
  • Non-Member (You are a dentist but not affiliated with PCDS/PDA or ADA)
  • Dental Team Member (You are a dental assistant, hygienist, front-desk assistant, etc.)
  • Student/Resident (You are a pre-dental or dental school student or are in a dental residency program)
PLEASE SCROLL DOWN TO YOUR REGISTRATION CATEGORY FOR PAYMENT INSTRUCTIONS

PCDS MEMBER REGISTRATION FEES:

*2 Day (Friday & Saturday) Liberty Dental Conference Fee: $200.00
*Liberty Dental Conference Fee of $200, includes CE Credits for Friday and Saturday, Happy Hour Friday evening, as well as Breakfast and Lunch on Friday and brunch on Saturday.

**1 Day (Friday OR Saturday) Liberty Dental Conference Fee: $125.00

**Liberty Dental Conference Fee of $125, includes CE Credits for Friday OR Saturday and all food for either day.

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

Payment by credit card:

Please visit our Square Site to complete a secure payment for the 2 Day Conference $200  here.
Please visit our Square Site to complete a secure payment for the 1 Day Conference $125  here.

Venmo: @Philcodent

Check: Please mail check to
Philadelphia County Dental Society
c/o Brinker Simpson
Attn: Jessica Karpovich
160 Rock Hill Road, First Floor
Bala Cynwyd, 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.


PDA/ADA MEMBER REGISTRATION FEES:

*2 Day (Friday & Saturday) Liberty Dental Conference Fee: $250.00
*Liberty Dental Conference Fee of $250, includes CE Credits for Friday and Saturday, Happy Hour Friday evening, as well as Breakfast and Lunch on Friday and brunch on Saturday.

**1 Day (Friday OR Saturday) Liberty Dental Conference Fee: $175.00

**Liberty Dental Conference Fee of $175, includes CE Credits for Friday OR Saturday and all food for either day.

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

Payment by credit card:

Please visit our Square Site to complete a secure payment for the 2 Day Conference $250  here.
Please visit our Square Site to complete a secure payment for the 1 Day Conference $175  here.

Venmo: @Philcodent

Check: Please mail check to
Philadelphia County Dental Society
c/o Brinker Simpson
Attn: Jessica Karpovich
160 Rock Hill Road, First Floor
Bala Cynwyd, 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.


NON-MEMBER DENTIST REGISTRATION FEES:

*2 Day (Friday & Saturday) Liberty Dental Conference Fee: $350.00
*Liberty Dental Conference Fee of $350, includes CE Credits for Friday and Saturday, Happy Hour Friday evening, as well as Breakfast and Lunch on Friday and brunch on Saturday.

**1 Day (Friday OR Saturday) Liberty Dental Conference Fee: $250.00

**Liberty Dental Conference Fee of $250, includes CE Credits for Friday OR Saturday and all food for either day.

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

Payment by credit card:

Please visit our Square Site to complete a secure payment for the 2 Day Conference $350  here.
Please visit our Square Site to complete a secure payment for the 1 Day Conference $250  here.

Venmo: @Philcodent

Check: Please mail check to
Philadelphia County Dental Society
c/o Brinker Simpson
Attn: Jessica Karpovich
160 Rock Hill Road, First Floor
Bala Cynwyd, 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.


DENTAL TEAM MEMBER REGISTRATION FEES:

2 Day (Friday & Saturday) Liberty Dental Conference Fee:$0.00 until 9/18 at 6:00 p.m.

1 Day (Friday OR Saturday) Liberty Dental Conference Fee: $0.00 until 9/18 at 6:00 p.m.
 

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


PRE-DENTAL/DENTAL STUDENTS/RESIDENTS REGISTRATION FEES:

2 Day (Friday & Saturday) Liberty Dental Conference Fee: $0.00 until 9/18 at 6:00 p.m.

1 Day (Friday OR Saturday) Liberty Dental Conference Fee: $0.00 until 9/18 at 6:00 p.m.

 

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


Please select your Payment Method you used above:




Please select your planned attendance below: