OMS Review Course Registration

You may use the form below to register online or you may:

Email Michele Holmes: courses@jkomsf.org
Call Michele Holmes: (833) 355-6673 or (833) 3JKOMSF
Mail the printable registration form to:
JKOMSF, Attn: Michele, P.O. Box 792807, New Orleans, LA 70179
Download Printable Registration Form

Register by October 1, 2024 for Early Bird Discounted Tuition

Please note that Early Bird price is only valid if registration is received by October 1, 2024.

Tuition fee includes both CDE and/or CME credits, continental breakfast, and lunch each day.

At the conclusion of the course, all attendees will be provided access to a password protected page on the JKOMSF website where they can download all study materials provided by our faculty.

OMS Review Course Registration – 2024

Name(Required)

First Last

Credentials(Required)

DDS

DMD

Resident

Address(Required)

Street Address Address Line 2 City State ZIP Code

Phone(Required)

Fax

Email(Required)

Please select Practitioner, Resident/Fellow or Military below to see your calculated pricing.

Early Bird Registration (by 10/1/24): $2,000 Practitioner / $1,600 Resident/Fellow/Military
Late Registration (after 10/1/2024): $2,500 Practitioner / $2,000 Resident/Fellow/Military

I would like to register as:

Please select one. *If you are a Resident, Fellow or Active Military you may be asked to provide confirmation of current affiliation.

Practitioner

Resident/Fellow *

Active Military*

Residents, Fellows and Active Military

You may upload confirmation of your current affiliation here.

Accepted file types: pdf, doc, docx, Max. file size: 100 MB.

Early Bird Registration – Practitioner

Price:

Practitioner

Price:

Early Bird Registration – Resident/Fellow/Active Military

Price:

Resident/Fellow/Active Military

Price:

Total

In compliance with the Americans with Disabilities Act, if special accommodations are needed please notify Michele at (833) 355-6673 or (833) 3JKOMSF or courses@jkomsf.org no later than October 1, 2024.

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Name

This field is for validation purposes and should be left unchanged.

OMS Review Course Registration

Register by October 1, 2024 for Early Bird Discounted Tuition

OMS Review Course Registration – 2024

Please select Practitioner, Resident/Fellow or Military below to see your calculated pricing.

Jack Kent Oral & Maxillofacial Surgery Foundation

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OMS Review Course Registration

Register by October 1, 2024 for Early Bird Discounted Tuition

OMS Review Course Registration – 2024

Please select Practitioner, Resident/Fellow or Military below to see your calculated pricing.

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Jack Kent Oral & Maxillofacial Surgery Foundation

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