Alliance for Oral Health Across Borders Application Form

Thank you for your interest in joining the Alliance for Oral Health Across Borders. Once your application is complete, one of our senior members will reach out to you to answer any questions you may have and help you get acquainted with the organization.

* Required

Dental School/University Member – $1000Not-for-Profit Organization/Association Member – $1000Supporting Member – Dental Association – $1000Supporting Member -Governmental Entity – $1000Industry Member – $2000 + sponsorship of Alliance activitiesIndividual Member – $150