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  • Dental Assisting Institute
    3300 Tully Rd Suite A6, Modesto, CA 95350
    Tel: (209) 527-0101 Fax: (209) 661-9005
    Info@dentalassistinginstitute.com
    DentalAssistingInstitute.com
  • Pit and Fissure Sealant - ENROLLMENT AGREEMENT

  • COURSE TITLEPit and Fissure Sealant Course
    Program DescriptionPit and Fissure Sealant Course
    TOTAL FEES, CHARGES, AND EXPENSES
    Registration Fee:$ 100.00
    Tuition Fee$ 450.00Total tuition charged for the program or course
    Total Charges*$ 550.00Total you will be charged for your course of study
    SCHEDULE OF PAYMENTS: Down Payment Paid on
    Balance due: $ on
  • *YOU ARE RESPONSIBLE FOR PAYMENT OF THIS AMOUNT.

    By signing you understand and acknowledge that you have received and read the current course information and although placement assistance may be provided to you; you recognize that the school cannot promise or guarantee employment or income level to any student or graduate. Dental Assisting Institute does not provide refunds for courses unless the instructor cancels the course. Courses are non-transferable and non-refundable. By signing below, purchaser understands and accepts the policy of Dental Assisting Institute.

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