Leaders in Dentistry Order Form
List of Leaders | Order Form | Committee
Recordings are available either on DVD or VHS Tape
Print this blank order form and please fill it out by hand.
Check each item and indicate the quantity of videos you wish to order:
| DVD | VHS | DVD | VHS | DVD | VHS | |||||
| Morton Amsterdam | ||||||||||
| Ben D. Barker | John Greene | Ralph Phillips | ||||||||
| David L. Barmes | Samuel D. Harris | Jens J. Pindborg | ||||||||
| Israel B. Bender | John W. Hein | Sigurd P. Ramfjord | ||||||||
| Basil G. Bibby | Harold Hillenbrand | Gordon H. Rovelstad | ||||||||
| Per-Ingvar Branemark | Maynard K. Hine | Gordon A. Rowell | ||||||||
| William E. Brown | John I. Ingle | Nelson W. Rupp | ||||||||
| Gordon J. Christensen | Dushanka V. Kleinman | Herbert Schilder | ||||||||
| Rella P. Christensen | Harold Löe | George D. Selfridge | ||||||||
| Lois K. Cohen | Irwin D. Mandel | Margaret Seward | ||||||||
| D. Walter Cohen | Miles R. Markley | Earl E. Shephard | ||||||||
| Robert Collins | Maury Massler | Robert B. Shira | ||||||||
| Jack G. Dale | Charles A. McCallum | Jeanne C. Sinkford | ||||||||
| Peter E. Dawson | José Medina | Harold C. Slavkin | ||||||||
| Arthur A. Dugoni | Norinaga Moriyama | Clifford M. Sturdevant | ||||||||
| Clifton O. Dummett | Alvin L. Morris | Lawrence A. Tabak | ||||||||
| Wilmer B. Eames | Geraldine T. Morrow | Elbert O. Thompson | ||||||||
| Caswell Evans | Enid A. Neidle | James P.Vernetti | ||||||||
| George W. Ferguson | Linda C. Niessen | David A. Whiston | ||||||||
| Jacob Freedland | Charles W. Norwood | John S. Zapp | ||||||||
| Robert J. Genco | Lindsey D. Pankey | |||||||||
| Robert J. Gorlin | Nikolai M. Petrovic | |||||||||
| Jack W. Gottschalk | ||||||||||
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Complete set (63 tapes)
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| __ | Complete set (63 DVDs) |
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| Indicate below the total number of tapes and/or discs and total cost: 1-10 DVD or VHS @ $30 each - 10 or more @ $25 each |
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| (Allow 4 weeks for delivery after receipt of your check) | ||||||||||
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Number ordered
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Unit price (see above unit costs)
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Total cost
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International shipping add $10
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Total amount sent in $US dollars
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Send tapes to:
Name ____________________________________________________ E-Mail ___________________________________________________ Address __________________________________________________ City _____________________________________________________ State _________________________ Postal Code ________________ Country ________________________ Make checks payable to ICD and send in the mail to: International College of Dentists 51 Monroe Street, Suite 1400 Rockville, MD 20850-2408 |
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