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2023 AGD Membership Application
Join online at AGD.org, or call us at 888.243.3368 or 312.440.4300.MEMBER INFORMATION
First nameMILast redesignation(e.g. DDS, DMD, BDS)Primary Email address you currently
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What is primary email address?
A primary email address is the most important email account used for communication and official correspondence.
Who is required to file primary email address?
Individuals and businesses required to submit tax returns or official documents may need to file a primary email address for communication purposes.
How to fill out primary email address?
To fill out a primary email address, simply provide a valid email in the designated field on the form, ensuring it is typed correctly.
What is the purpose of primary email address?
The purpose of a primary email address is to serve as the main point of contact for notifications, updates, and correspondence related to filings and account management.
What information must be reported on primary email address?
Typically, the email address itself is reported, and sometimes additional information may be requested for verification, such as the owner’s name.
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