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Fellow Nominations NY Ceremony

The College Office
International College of Dentists
Flint, Michigan

Re: Fellowship Nomination for 2016 New York Ceremony

Please consider the following dentist for fellowship in our College (include as much of the requested information as known), to be inducted during the international convocation ceremony in New York City, on November 27, 2016. The name will be referred by the College Office for further review.

Fellow Nomination for 2016 New York Ceremony

Name

Email

Telephone Number

City / State / Country

Check below if appropriate:
Please contact me so I can discuss this nominee or comments about the nomination process.

Please provide your contact details: (Only a Fellow of the College can sponsor a nomination).

Name

Country

Telephone Number

Email

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