UPCDA End of the Year Party

UPCDA End of the Year Party

Valentino Ristorante Italiano
2930 Gulf to Bay Blvd, Clearwater, FL 33759

Date: May 8, 2026 |Time: 6:00 PM

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Guest/Spouse Fee:
Early Registration $75 by April 20th |Price increases to $100 after April 20th

The fee covers food and two drink tickets.

Member

First NameLast Name

Email

example@example.com

Phone Number

Area CodePhone Number

Are you bringing a guest?

Is your guest a nonmember dentist?

Guest/Spouse

First NameLast Name

Dietary Restrictions:

Guest/Spouse Fee$100.00

Total $0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country