Local: 416-307-2448
Toll Free: 1-855-791-7934
Email: info@hpda.ca
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HPDA Membership Registration

 

HPDA Membership Application

Please complete the following form if you would like to join HPDA:

  • Halton Peel Dental Association is a component society of the Ontario Dental Association and to join HPDA you must be an ODA Dentist.
  • If you are  a newly licensed Dentist in 2017, membership is free for the first year only (2017/18).
  • Membership period: July 1, 2017 - June 30, 2018
  • Membership fee Includes: 
    • 2 Category 1 Evening Lectures
    • 8 Category 2 & 3 Evening Lectures
    • 1 Full day Category 1 Course - Reduced fee
    • 1 Full day Category 2 Course - Reduced fee
    • Gala & Boat Cruise

Cancellation/refund policy
Please contact our office or email info@hpda.ca to cancel a membership or request a refund. No refunds for membership will be issued once one or more HPDA events have been attended.

All fees are in Canadian currency (CAD)
HST # 765463526 RT0001

Please enter a Username to create an account. If you already have an account please login before completing this form.
HPDA Registration
Please provide your ODA membership number here. In order to join HPDA you must be an active ODA dentist.
Please select one or more Dental specialties below.
Please select one or more topics of interests below.
Please select one or more reasons for joining below.
Credit Card Information
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Billing Name and Address
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