Programs and Registration

To reunite and reconnect with old friends from around the world,  rekindle  friendships and relive memories , the Lao Dental Association  in Canada would like to invite you to the international  reunion which will  be held in Montreal, Quebec on August 6^th-7^th2011.

Don't miss this wonderful opportunity to reconnect with old friends and make new ones. We look  forward to seeing you at this special event.

Registration for Reunion 2011

Name _________________________________________________

Street:___________________________ City:_____________ State:_________

Zip or Postal code:________Country:____________

Phone:____________________   or Cell Phone: ____________________________

E-mail:_________________________________

Number of guest (please list the name):

Registration Fee: $60.00 CAD/person  X _____(# attending)= $_____

DVD purchase(options): $15.00 CAD  X______(#of DVD)   =  $_____

Grand total amount enclosed $:_______

Please send your check or money order payable to:M. Soubanh Sèngsay, 629 rue Des Pétunias, Sainte Dorothée, Laval(Québec) H7X 1G4,

For more information, please contact : Dr. Soubanh Sengsay (450) 689-7630 or

Dr. Otsaha Songvilay  (450) 963 2867,  Email: otsaha@gmail.com