Meal Choices

The cost of the meeting and meal is $35.00 and your choice for entrée is Chicken or Beef

Vegetarian plates are available.

  • Please select meal choice on reservation form
  • Return by May 9, 2018
  • For late registration, please contact Ginger at   256-426-8848 or email at
  • Social at 6:00—6:30



Address _____________________________


AGD Number_________________________

Others Attending_________________________



Meal Choice

_____________ Beef

_____________ Chicken


Take a moment and fill out this form or send us an email.

Make checks payable to:

Huntsville-Madison County Dental Society


Phone:  256-426-8848


Mail this form to:

Huntsville-Madison County Dental Society

PO Box 4816

Huntsville, AL 35815


Remember the deadline for registration!