FIRST YEAR REGISTRATION FORM



Click on the SUBMIT REGISTRATION button above to submit and pay for your registration. Your registration will not be processed unless payment has been received. Once you complete the payment process, you will see a confirmation message.

Registration Cost

Class Name

Class Dates

Location

Instructor(s)


Cancellation Policy:

Full refund on or before July 15, 2023. Half refund between July 16-31, 2023. No refunds after August 1, 2024.

Please make checks payable to:
IAO New England
Dr. David Levine, DDS
888 Western Avenue
Albany, NY 12203
518-435-1104

We also accept PayPal, search for IAONEWENGLAND.

IAO Study Club - New England
Nationally Approved PACE Program Provider for FAGD/MAGD credit.
Approval does not imply acceptance by any regulatory authority or AGD endorsement.
01/01/2020 to 12/31/2023 | Provider ID# 213395

Dr. David Levine
Treasurer, Registrar C/O IAONE
888 Western Avenue, Albany, NY 12203
518-435-1104