Canadian Foundation Event Registration

For attendees from the United States

This is an add-on registration to the full registration. 

This registration form will process payment to the US Foundation in USD. If you wish to process your payment through the Canadian Foundation in CAD instead, please use this form.

Proceeds from the event will go to Tel Aviv University School of Dental Medicine Oral Pathology Laboratory Project and the Radiology Center at the new Oral Health Center for People with Disabilities at the Hebrew University Hadassah School of Dental Medicine.

$50 is tax-deductible for U.S. registrants from the $150 Canadian Foundation event registration fee. 

Write "None" if not affiliated with a chapter.

Payment Information

Payment Method *

Enter your donation amount above. Suggested donation is 3%, or $4.50 per ticket.