Criteria: A Section Chairperson may present this award during an appropriate ceremony to an individual dentist for outstanding and dedicated service to the profession within that Section.

One award per year per Section is authorized.

The name and address of the nominee must be submitted to the Central Office at least six (six) weeks prior to the award presentation.

Honoree Information

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Submitted by

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Address you want the Plaque shipped to:

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Please Remember

to take photos of your Awardee as well as your event to send with your annual report to the International Office for publishing in Dental World and on the website.