Course Registration

Register by Calling Vickie McCune at (614)-207-1102
   

Or Register by form. Please fill out all contact information completely as Vickie will have to contact you to verify your registration request and to complete accurate payment information.


    
Course Selection:
First Name
Last Name
Your Age
  
     
Company Name
Address:
 
City
 
State
 
Zip
Country
Telephone
Fax Number
Email
Specialty
I found MII by
     
If you chose "other" above - please explain here
  
     
Additional Questions or Comments:
     

 

Courses l About MII l Faculty & Staff l Welcome to Columbus l Contact MII l Testimonials l Live Surgeries l Downloads l MII Vision
Patients l Register l Dr. Rob Heller l Dr Duke Heller l Transforming Dentistry l Common Questions / FAQ's l Surgical DVDs

TO VISIT THE MII FELLOWS WEBSITE <<<CLICK HERE>>>

The Midwest Implant Institute is a 501(c)(3) Organization (2008 Tax Information Here)

previous years' tax info (click here and search for the Midwest Implant Institute at Lewis Center)

Cancellation / Refund Policies for Course Fees