Alliance for Oral Health Across Borders Application Form

Thank you for your interest in renewing your membership with the Alliance for Oral Health Across Borders. If you have any questions of any kind regarding our organization, please use the Contact page to send them to us, and we will get back to you as soon as possible.

* 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