We hereby apply for membership in the Dental Laboratory Owners Association of California. Owners Name Name of Laboratory Street Address City State Zip Code Telephone Fax E-mail Does your laboratory have a web site? if so, what is its URL Sales Tax permit No. Business License No. Total Number of Technicians (do not include yourself or partners) Check the following work performed in your laboratory: Dentures Partial Dentures Crown & Bridge Porcelain Orthodontic Chrome Full Service In making this application, we agree to abide by the rules and regulations of this Association, its Code of Ethics and all laws, ordinances, or public regulations concerning the dental laboratory industry. Initiation Fee: $40.00 Monthly Dues and Assessments: $32.50 plus $1.00 per technician Program Account $10.00 per year. Appears on January statement
Dentures Partial Dentures Crown & Bridge Porcelain Orthodontic Chrome Full Service
In making this application, we agree to abide by the rules and regulations of this Association, its Code of Ethics and all laws, ordinances, or public regulations concerning the dental laboratory industry. Initiation Fee: $40.00 Monthly Dues and Assessments: $32.50 plus $1.00 per technician Program Account $10.00 per year. Appears on January statement
4th International Cad-Cam Technology Symposium & Expo
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DLOAC P.O. Box 9 - San Clemente, CA 92672 Phone (949) 498-8791 - Fax (949) 498-7487 Executive Director - Glenn Thom, CDT dloac@earthlink.net President - Carol Pilmer rdental@sbcglobal.net
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