Meeting Dates:
Friday, November 29 –
Wednesday, December 4, 2013

Exhibit Dates:
Sunday, December 1 –
Wednesday, December 4, 2013

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Forms & Manuals (TEST)

Please use the following form. It is needed to insure the accuracy and spelling of your company's submitted information. This information will go into our website and onto our printed material. This is not a substitue for your application form. You still must complete the "formal application" that was sent to you or that you downloaded from this website. This verification form must accompany your application along with a check for the proper payment.

Please follow these instructions:
1. Fill in all information. All areas are required.
2. When you have completed the form with the proper information, press the "Submit" button.
3. The completed form will be sent to the GNYDM Exhibits Desk for our records.
4. You will immediately receive confirmation on your browser that the form was delivered.
5. Finally, you must print this confirmation form and attach it to your application form.

   
Company Name
Address
Address2
City
State/Provence
Country
Zip/Postal Code
Company E-mail
Website
Customer Service Telephone
Numerals only - (no “(” or “-” allowed)
Customer Service Fax
Numerals only - (no “(” or “-” allowed)
Exhibit Contact Person
Contact Person Title
Contact Person E-mail
Contact Person Telephone
Numerals only - (no “(”or “-” allowed)
Contact Person Extension
Numerals only - “0” if no extension
Contact Person Fax
Numerals only - (no “(”or “-” allowed)
Advertising Contact Person
Advertising Contact Person E-mail
Advertising Contact Telephone
Numerals only - (no “(” or “-” allowed)
Advertising Contact Extension
Numerals only - “0” if no extension

       (All Fields Are Required)

 


Co-sponsored by the Second District Dental Society
and the New York County Dental Society,
components of the American Dental Association.

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Jacob K. Javits Convention Center
655 West 34th Street
New York, NY 10001

 

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