Certificates of completion will be awarded to all participants who successfully complete each course, as proof of training.

14 units of California CE will be awarded to each participant who successfully complete the Bread and Butter course.  Validity in other jurisdictions is dependant on local rules.

Classes run from 8:00 a.m. to 4:45 p.m unless otherwise noted.

A light continental breakfast is served starting at 7:30 a.m. before the course each day.

Lunch and dinner are not hosted, although we will coordinate locations to maximize our learning experience.

Class size is limited to two doctor participants per operatory available, in order to assure each participant of a complete implant placement experience.

To reserve class space, course fee(s) and registration forms must be received thirty (30) days in advance of the course start date.

A full refund will be given if notice is given to Six Pillars Seminars thirty (30) days prior to the course start date. No refund will be given if student cancellation occurs within thirty (30) days or less prior to the class start date. The participant can, however, reschedule their course dates.

Further Questions?  Please contact Six Pillars Seminars at (661) 831-9024.

 
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GP Implants training courses are sponsored by Six Pillars Seminars. 

Print this form, fill out completely and mail or FAX to:
Six Pillars Seminars                  ATTN: Course Registration
3720-C Gosford Road
Bakersfield, CA 93309
Phone (661) 831-9024            FAX (661) 836-1242
Please make copies of this form for additional courses or additional doctor attendees.
 


Name: ___________________________________________________

State and Dental License No.:_________________________________

Dental Practice Name: _______________________________________

Address: _________________________________________________

City: _______________________ State: _________ Zip:___________

Phone: ____________________ Email: _________________________
 

 Course Date and Location: ________________________________________  

 

____ "Bread and Butter Surgical Course" Basic Course Fee                  $4,750

2-day course includes lecture, workshop, case preview, free DICOA surgical instrumentation kit, single implant/abutment/heaing cap, and live surgical experience. Includes entire clinical and business staff.

____ "Restorative Choices" Doctor                                                             $1,750

____ "Restorative Choices" Staff     (suggest clinical staff only)            $275

2-day course includes lecture, workshop, case preview, and live restorative experience. Includes fixed, screw retained, and removable prosthetic options. Special emphasis on development of staff driven implant prosthetic procedures.

____ "Advanced Surgical Course" Doctor                                                  $1,750

____ "Advanced Surgical Course" Staff (clinical staff suggested)         $250

2-day course includes lecture, workshop, case preview, and live surgical experience. Features block, particulate, and sinus lift protocols and procedures.

____ "Private Sponsored Course" (per day)                                             $7,750

We'll hold a complete customized course of your choice right in your own office, with your own equipment, your own staff, and your own patients. We can also help you to recruit additional course participants (limit 2 per available operatory). You recoup your costs with each additional registered participant. Includes one surgical kit.

___ Early Registration (45 days prior to course)                                  less $75

Register early and save.

___ DentalTown.com member (DT name ______________)             less $75

DentalTown is the premier online dental community. All registered DentalTown members save on every GP Implants seminar.

___ Surgical Drill Unit                                                                                      $3,450

NSK or Nouvag surgical unit, including programmable speed and torque, irrigation pump, and implant contra-angle handpiece suitable for all implant procedures. Unit will be delivered to you fully setup and programmed for use in your GP Implants course.

___ Complete Surgical Package                                                                  $9,950

Includes both 2-day Includes both 2-day surgical courses, surgical drill unit, 6 DICOA implant/abutment/healing cap packages, and complete surgical drill unit. Everything you need to add dental implants to your dental practice service mix.          

___ Complete Practice Package                                                                $12,750

Includes all thee 2-day Includes all three 2-day sugical and restorative courses, surgical drill unit, 12 DICOA implant/abutment/healing cap packages, and complete surgical drill unit.

 

Payment Enclosed: __________________________

Form of Payment:

______ Check Enclosed (make checks payable to Six Pillars Seminars)

______ Check Mailed Separately

______ Credit Card # __________________________________ Exp ____________  

Signature ____________________________________________ Date ___________

Registration may be held pending reciept of payment

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