Peninsula Dental Hygienists' Association
PDHA
100 Long Green Blvd
Yorktown, VA
United States
pdha07
Forms
Below you will find various PDHA Forms. Please select the form you are looking for, complete and mail as directed.
Employment Resourse Program Form
Please download the ERP Form, complete the information and mail as directed. Once you have mailed the ERP Form, please call the Point Of Contact as directed. Thank you for supporting the Peninsula Dental Hygiensts' Association.Continuing Education Registration Form
Please print the CE Registration Form, complete the information and mail your registration fee as directed. Thank you for supporting the Peninsula Dental Hygiensts' Association.
Members: Simply RSVP
PDHA Reimbusement Form (member use)
Simply down load this reimbursement form, complete all information and deliver to PDHA Treasurer.Fundraiser Order Form
Please download the Fundriaser Form, complete the information and mail your check payable to PDHA as directed. Thank you for supporting the Peninsula Dental Hygienists' Association. If you have any questions, please feel free to contact PDHA Fundraiser Chair: Janis Doye, RDH, BSDH
FUNDRAISER Merchandise:
Unique "tooth design" Sand Cast candles made in New Mexico: $15.00
Cute handmade cloth totes (13x12x4): $14.00
RDH T-Shirt "Licensed to Scale" : $10
We currently have two sizes in the RDH Pens. Please indicate if you want "Jumbo" for $4 each or regular size for 2/$1.00 on the order form.
Jumbo RDH Pens $4.00
L
RDH Pens, regular size:navy blue, pink, lime green, purple, aqua blue, red: 2/$1.00
Neck and Back Warmers with removable covers. Neck: $15, Back: $10
Charm Bracelets 8" $8.00
PDHA
100 Long Green Blvd
Yorktown, VA
United States
pdha07
