Request for Payment plan

We are pleased to offer flexible payment options.

Please complete the form.

Fields marked with an asterisk (*) are required.

Last name:

First name:

Name of dental clinic:

Email:

Cell phone number:

Work phone number:

Please select the course(s) you wish to have a payment plan:

The Art of Ceramic The Art of Resin Level 1 The Art of Resin Level 2

When is the first date of the course you wish to purchase?

Please select your preferred payment plan:

2 Monthly Payments 3 Monthly Payments

Note: The first payment is collected at time of initial registration and the following payments are collected monthly on a predetermined date outlined in your signed payment authorization form. For any questions or assistance, please contact our support team at info@artofdentistrycourses.com.

Split payment option available - Click here

Request for Payment plan