Productive Dentist Academy

General Information
User Name		This is the name that will be displayed when you use the forum
Email Address
Password
Verify Password

Mailing Address Please provide your HOME address for CE purposes
First & Last Name		We respect your privacy! Personally identifiable information provided to us in this section *is not* displayed on the web site or in the discussion forum.
Company/Practice
Address
City
State
Province		For non US addresses
ZIP / Postal Code
Country
Phone Number
FAX Number

Addition Information
Date Of Birth
Position
Professional Lic. #
Issuing State

Alumni Forum Profile
Forums are similar to online chat rooms and helps you stay in touch with other PDA Graduates. In the forum you can ask questions and share information about clinical efficiency, productivity, and other topics. Information provided in this section of the registration may be displayed to tell others a little bit about yourself; Information provided in this section is optional and may be displayed on the website or in the forums depending on the profile settings you specify below. Please use appropriate discretion when providing this information.
Your Location		Where do you live (City & State)
Home Page		Do you have a website?
AIM Address		AOL Instant Messanger screen name
MSN Messenger		Microsoft Messanger address
Yahoo! Messenger		Yahoo! Messanger screen name
Interests		What do you like to do?
Select An Avatar This is the small icon displayed in your posts. Choose from the list or enter a path to your own (must be 100x100 pixels)
or choose your own
Signature Line Enter a signature that you would like shown at the bottom of your posts ( 325 characters left )

Alumni Forum Preferences
Local Time Offset	hours from server time [ 6:31:11 PM ]
Profile Options Defines what information is displayed in the forums and specifies which types of EMail notifications you would like to receive	Show my Email Address Hide your email address if you want it kept private from other users.
	Always attach signature to posts Adds the signature line you created to each of your posts
	Notify me of replies to posts Sends an email when someone replies to a topic you have posted in.
	Notify me of Private Messages Sends an email when you receive a Private Message
	Notify me of site updates Sends an email when there is a site update or special announcement
	Automatically Log Me In Automatically logs you in when you return to the site