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California Dentist Hygienist 12-Hour CE Package FINAL EXAMINATION
Please fill in all information below in CAPITAL LETTERS. Upon completion, please return this sheet, along with payment and mail to the address above. If paying by check or money order, please make payable to Elite . For even faster service, we offer the test online with instant grading and certificate issuance. Please visit EliteLearning.com/Book to complete your test online. Please PRINT NEATLY in CAPITAL LETTERS in the areas below using black or blue pen only: FIRST NAME MI LAST NAME
MAILING ADDRESS
SUITE/APT #
CITY (do not abbreviate)
STATE
ZIP CODE
AREA CODE + TELEPHONE NUMBER
DENTAL HYGIENIST LICENSE NUMBER
-
-
H - E-mail (Include to receive processing confirmation and instant certificate access)
PAYMENT METHOD q Check/Money Order made payable to Elite with the amount due $_____________ q Visa/Mastercard/American Express/Discover Credit Card Number
Card Expiration Date / Signature _______________________________________________
Course Payment: You may complete the individual courses for the price listed below. COURSE
CE HOURS PAYMENT
1 California Dental Practice Act, 7th Edition (Mandatory)
2
$19.95
2 Infection Control Standards for California Dental Health Care Workers, 6th Edition (Mandatory)
2
$19.95
3 CDC and the Practice of Dental Hygiene, 2nd Edition 4 Geriatric Dentistry: Providing Care for Older Adults 5 Tobacco Cessation: The Role of the Dental Professional
2
$19.95
3
$29.95
3
$29.95
Best Value - Save $47.75 - All 12 Hours
12
$72.00
TOTAL ENCLOSED:
$
.
... Please see the following page for the Final Exam Answer Sheet ►
EliteLearning.com/Dental
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