Meeting Registration « UNC Orthodontic Alumni Association

Registration Type*

UNCOAA Member
Retired Orthodontist
New Graduate
Resident
Full-time Faculty

Your Name*

First

Last

Address*

Street Address

City

State / Province / Region

ZIP / Postal Code

Country

Email*

Phone

UNCOAA Member Registration

Your registration fee of $450 includes all dining options for yourself plus $175 for your annual dues.

Are you bringing a Spouse/Date?*

Yes
No

Your Spouse/Date's Name*

Spouse/Date Dining Options

Thursday evening dinner $200
Friday morning sports breakfast $15

Bringing an Orthodontist guest (non-member)? $625 (all dining options included)*

Yes
No

Orthodontist Non-Member Registration

Your Registration Fee of $625 covers all dining options for yourself.

Orthodontist Guest's Name*

Name of UNCOAA Member You Are Accompanying*

Is Orthodontist Non-Member Guest bringing a spouse/date?*

Yes
No

Guest's Spouse/Date Name*

Guest's Spouse/Date Dining Options

Thursday evening dinner $200
Friday morning sports breakfast $15

Retired Orthodontist Registration

If you are retired, you may attend any or all the meeting functions for $350 per person. Please come and visit your friends.

Is Retired Orthodontist bringing a Spouse/Date? $200*

Yes
No

Name of Retired Orthodontist's Spouse/Date*

New Graduate Registration

If you are a Class of 2023 UNC Orthodontics graduate, you may attend any or all the meeting functions free of charge. (You will need to pay your $175 UNCOAA dues by registering for the meeting.) For $200 you may bring your spouse or guest. Please come and visit your friends.

Is New Graduate bringing a Spouse/Date? $200*

Yes
No

Name of New Graduate's Spouse/Date*

Faculty Registration

The fee is $200 which includes dinner at Angus Barn.

Is Faculty member bringing a Spouse/Date? $200*

No
Yes

Name of Faculty member's Spouse/Date

Resident Registration

Your Registration covers all dining options for yourself and dinner for your spouse/date.

Is Resident bringing a Spouse/Date to the dinner?*

No
Yes

Name of Resident's Spouse/Date

Attendance

To assist in making plans for the meeting, please indicate below the total number of persons you are registering for each of the listed social events.

Please include yourself when you total the number attending each function.

Thursday luncheon*

Please enter a number from 0 to 4.

Thursday night dinner*

Please enter a number from 0 to 4.

Note, if you are Not bringing a spouse/date/guest, the above number for Thursday night dinner attendance can only be 1. You need to select Yes for the spouse/date/guest question above to be charged for your guest’s dinner.

Friday sports breakfast*

Please enter a number from 0 to 4.

Registration Fees

Annual Dues

Price:

Annual Dues for New Graduate

Price:

Member Registration Fee

Price:

Spouse/Date Thurs Dinner

Price:

Spouse/Date Fri Sports Breakfast

Price:

Orthodontist Non-Member Guest Fee

Price:

Guest's Spouse/Date Thurs Dinner

Price:

Guest's Spouse/Date Fri Sports Breakfast

Price:

Retired Orthodontist Fee

Price:

Retired Orthodontist's Spouse/Date Fee

Price:

New Graduate's Spouse/Date Fee

Price:

Faculty member Fee

Price:

Faculty member's Spouse/Date Fee

Price:

Late Registration Fee

Price:

Total

$0.00

Note that you are not registered for the meeting until your payment has been submitted through our PayPal account.
You are not required to have your own PayPal account; you can simply enter your debit or credit card information for payment.

Note: Even though the button below says “continue to PayPal”, you will not be sent to PayPal because you have no cost. Please press the Submit button to complete your registration so we can expect you at the meeting. Thank you!

Email

This field is for validation purposes and should be left unchanged.

Meeting Registration

2023 Annual Meeting

UNCOAA Member Registration

Orthodontist Non-Member Registration

Retired Orthodontist Registration

New Graduate Registration

Faculty Registration

Resident Registration

Attendance

Registration Fees