Equine Gnathological Training Institute

To Apply/Enroll Please Print This Page; Fill Out Information and Return To Our Office; If you have trouble printing this form you might try copying and pasting this information into your "word" program.

You may also apply/enroll by phone or just email us!

Date:   _______Name:  _________________________ Age:  ________  Sex:  ___________

​Address:_________________________________________________________________

City/State:_______________________________________________________________

Country:_________________________________________________________________

Email address: ____________________________________________________________

Phone:   ___________________   Fax:  ___________________ Cell: __________________

Desired Courses and Class Date/s: _____________________________________________

Reasons for Attending Training Conference: __________________________________________________________________________________________________________________________ 

Horse Handling Experience:  ______________________________________________________________________________________________ __________________________________________________________________________________________________________________________ 

Other Training and Education:_____________________________________________________________________________________________ __________________________________________________________________________________________________________________________ 

​Deposit Amount Enclosed:  ______________ I am including $150.00 for Text Book & Class Materials

Payment Options: We accept Only US Funds; Cash, Visa, Mastercard, Travelers Checks, Certified Funds, Guaranteed Bank Check/Money Order. Our goal is to provide quality education at economical prices.   We have a 5% surcharge for credit cards.    

Master Card or Visa #:  ____________________________  Expiration Date:  ____________  Security Code:  ________ 

Please send me your text book and curriculum for study prior to attending:  I have added $150.00 to my deposit for these materials.  Yes / No          

If possible please provide us with the above information prior to attending our course.    

Mail  To:   EGTI Inc., 2050 East Medicine Wheel Lane, King Hill, Idaho 83633 USA  

​To Enroll in Person Call Dale at: 208-869-1002   or   Email Dale at: dalejeffrey@equinedentistry.com