Membership Application

MEMBERSHIP APPLICATION

You may download the NHAD Membership Application, print and complete the form, and mail the Membership Roster Information with a check payable to the Newport Harbor Academy of Dentistry in the amount of $3,000. We do not accept credit or debit cards.

NEWPORT HARBOR ACADEMY OF DENTISTRY

2901 SETTING SUN DRIVE

CORONA DEL MAR, CA 92625

The fee for new members is $3,000 for the first (calendar) year. Each year thereafter the fee is $2,000 for the year's eight meetings. This fee also includes a three-course gourmet luncheon with wines at all meetings.

Photographs will be taken during the April and May meetings for the membership roster. If you miss an opportunity to have your photograph taken, please e-mail a current photograph to NHAD@hughes.net.

The fee for GUEST REGISTRATION for any scientific meeting is $450. This fee may be applied to a new membership for the current year. Reservations for guests must be received one week in advance. Please do not phone. Once your guest fee is received, you will be registered to attend that meeting. Mail the guest fee with your name as you would like it to appear on your badge to the above address.

If you have any questions, you may call (951) 698-7764 to speak directly to Dr. Rieder.