2025 Annual Conference Attendee Registration

Speaker: Dr. DeWitt Wilkerson, DMD
Date: Friday, April 11, 2025
Time: Registration 8:00 AM to 8:30 AM, Meeting 8:30 AM to 3:30 PM
Location: Indian Spring Country Club, Boynton Beach

To register to attend the Atlantic Coast District Dental Association Annual Conference, fill out the following information.
Register early! ACDDA will add a $20 fee to registrations made on or after April 7, 2025.

Primary Registrant

Registration Category *

First Name *

Last Name *

FL License # (if applicable)

Meal Type *

Dietary Restrictions

Additional Information

Cardholder first name *

Cardholder last name *

Billing address *

Billing city *

Billing state *

Billing zip *

Phone *

Email *

Dental Practice Name

Doctor's Name

Payment Amount: $0.00