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Dental Alumni and Friends D4 Registration

DAF 2018 invitation

D4 Students, please join us for the Dental Alumni and Friends dinner honoring your class, the reunion classes, and Alumnus of the Year Dr. Jimmy Hollingsworth. 

Friday, February 9, 2018
6 pm
Fairview Inn, Jackson 
Thanks to Dr. George May, there is no cost for D4 students or their guests to attend dinner. 

Please register by Friday, February 2, and contact the Office of Alumni Affairs at 601.984.1115 or with any questions. 


D4 Registration Form - Dinner

First Name* 
Last Name* 
Street Address* 
City/State/Zip*:  -  
Phone (Home/Cell)() - ext.
Phone (Business)() - ext.
Preferred Phone

Friday, February 8, 2019

Dental Alumni and Friends Recognition Dinner - Fairview Inn
No charge for D4 students. Sponsored by Dr. George May.
6:00 p.m.

  • Guest First Name:
  • Guest Last Name:

Please list any accessibility resources (e.g. dietary, sign-language interpreters,
wheelchair access, etc.) you or your guest(s) may require during this event: