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Telephone No:
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Fax No:
Mobile No:
1. Main Contact
Title:
* Please select... Mr Mrs Miss Ms Dr Other (please specify)
Other:
First Name:
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Last Name:
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Job Title:
* Please select... Principal / Partner Associate Dentist Dental Surgeon Dental Hygienist Dental Nurse Dental Technician Dental Therapist Laboratory Owner Practice Manager Trade Professional Other (please specify)
Other:
E-mail Address:
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Confirm E-mail Address:
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Which days would you like to attend?:
* Please select... Both Days Friday Saturday
I would like to attend:
* Please select... Conference and Exhibition Exhibition Only
Which free seminar(s) would you like to attend?:(please tick all that apply)
*
Which seminar(s) would you like to attend?:(please tick all that apply)
White Talks - learn how to carry out whitening, safely and predictably, from two of the most experienced clinicians in the field of whitening – Zaki Kanaan and Dominque Kanaan. You will receive two hours of intensive quality training in Whitening treatments, followed by a live demonstration in the theatre, then hands on practical sessions, giving you an invaluable insight into the various whitening techniques available. The course is certified - only £299 + VAT.Smile Design – This hands-on workshop led by Adrian Jurim and coordinated by Jurim Dental Studio will highlight the concepts, techniques and materials needed to fabricate exceptional, natural looking provisionals which will in turn be the blueprint for a successful case. This workshop style course will gain you 2.5 hours of verifiable CPD at only £250 + VAT. This is a rare opportunity to learn from an expert, largely acknowledged as the best in the world.The Grand Reunion - No matter when you were there, I am sure you agree your university days were the best. We are bringing old and new friends together at the NEC on Friday 19thMarch. Once you have arrived it is time to let your hair down, dust off your colours as fancy dress is the order of the evening and get ready for a night to remember. Entertainment will include A University Challenge, Spoof Awards Ceremony and a Bun Fight. Tickets for the evening cost £75 + VAT each and will include a three course sit down meal.Botulinum Toxin Taster - The 2.5 hour taster session designed to give delegates a real opportunity to see if injecting is for them; at a special price of £99 + VAT.Tooth Out, What's Next? - Post extraction socket ridge preservation. Hands-on master class with Dr. Karl-Ludwig Ackermann @ only £150 + VAT. Includes a clinical lecture, live demo and hands-on training.
Your Additional Attendees
Total attendees:
* Please select... 1 (just the main contact) 2 3 4 5
Title:
*
First Name:
*
Last Name:
*
Job Title:
* Please select... Principal / Partner Associate Dentist Dental Surgeon Dental Hygienist Dental Nurse Dental Technician Dental Therapist Laboratory Owner Practice Manager Trade Professional Other (please specify)
Other:
E-mail Address:
Telephone No:
Which days would you like to attend?:
* Please select... Both Days Friday Saturday
I would like to attend:
* Please select... Conference and Exhibition Exhibition Only
Which free seminar(s) would you like to attend?:(please tick all that apply)
*
Which seminar(s) would you like to attend?:(please tick all that apply)
White Talks - learn how to carry out whitening, safely and predictably, from two of the most experienced clinicians in the field of whitening – Zaki Kanaan and Dominque Kanaan. You will receive two hours of intensive quality training in Whitening treatments, followed by a live demonstration in the theatre, then hands on practical sessions, giving you an invaluable insight into the various whitening techniques available. The course is certified - only £299 + VAT.Smile Design – This hands-on workshop led by Adrian Jurim and coordinated by Jurim Dental Studio will highlight the concepts, techniques and materials needed to fabricate exceptional, natural looking provisionals which will in turn be the blueprint for a successful case. This workshop style course will gain you 2.5 hours of verifiable CPD at only £250 + VAT. This is a rare opportunity to learn from an expert, largely acknowledged as the best in the world.The Grand Reunion - No matter when you were there, I am sure you agree your university days were the best. We are bringing old and new friends together at the NEC on Friday 19thMarch. Once you have arrived it is time to let your hair down, dust off your colours as fancy dress is the order of the evening and get ready for a night to remember. Entertainment will include A University Challenge, Spoof Awards Ceremony and a Bun Fight. Tickets for the evening cost £75 + VAT each and will include a three course sit down meal.Botulinum Toxin Taster - The 2.5 hour taster session designed to give delegates a real opportunity to see if injecting is for them; at a special price of £99 + VAT.Tooth Out, What's Next? - Post extraction socket ridge preservation. Hands-on master class with Dr. Karl-Ludwig Ackermann @ only £150 + VAT. Includes a clinical lecture, live demo and hands-on training.
Title:
*
First Name:
*
Last Name:
*
Job Title:
* Please select... Principal / Partner Associate Dentist Dental Surgeon Dental Hygienist Dental Nurse Dental Technician Dental Therapist Laboratory Owner Practice Manager Trade Professional Other (please specify)
Other:
E-mail Address:
*
Telephone No:
Which days would you like to attend?:
* Please select... Both Days Friday Saturday
I would like to attend:
* Please select... Conference and Exhibition Exhibition Only
Which free seminar(s) would you like to attend?:(please tick all that apply)
*
Which seminar(s) would you like to attend?:(please tick all that apply)
White Talks - learn how to carry out whitening, safely and predictably, from two of the most experienced clinicians in the field of whitening – Zaki Kanaan and Dominque Kanaan. You will receive two hours of intensive quality training in Whitening treatments, followed by a live demonstration in the theatre, then hands on practical sessions, giving you an invaluable insight into the various whitening techniques available. The course is certified - only £299 + VAT.Smile Design – This hands-on workshop led by Adrian Jurim and coordinated by Jurim Dental Studio will highlight the concepts, techniques and materials needed to fabricate exceptional, natural looking provisionals which will in turn be the blueprint for a successful case. This workshop style course will gain you 2.5 hours of verifiable CPD at only £250 + VAT. This is a rare opportunity to learn from an expert, largely acknowledged as the best in the world.The Grand Reunion - No matter when you were there, I am sure you agree your university days were the best. We are bringing old and new friends together at the NEC on Friday 19thMarch. Once you have arrived it is time to let your hair down, dust off your colours as fancy dress is the order of the evening and get ready for a night to remember. Entertainment will include A University Challenge, Spoof Awards Ceremony and a Bun Fight. Tickets for the evening cost £75 + VAT each and will include a three course sit down meal.Botulinum Toxin Taster - The 2.5 hour taster session designed to give delegates a real opportunity to see if injecting is for them; at a special price of £99 + VAT.Tooth Out, What's Next? - Post extraction socket ridge preservation. Hands-on master class with Dr. Karl-Ludwig Ackermann @ only £150 + VAT. Includes a clinical lecture, live demo and hands-on training.
Title:
*
First Name:
*
Last Name:
*
Job Title:
* Please select... Principal / Partner Associate Dentist Dental Surgeon Dental Hygienist Dental Nurse Dental Technician Dental Therapist Laboratory Owner Practice Manager Trade Professional Other (please specify)
Other:
E-mail Address:
*
Telephone No:
Which days would you like to attend?:
* Please select... Both Days Friday Saturday
I would like to attend:
* Please select... Conference and Exhibition Exhibition Only
Which free seminar(s) would you like to attend?:(please tick all that apply)
*
Which seminar(s) would you like to attend?:(please tick all that apply)
White Talks - learn how to carry out whitening, safely and predictably, from two of the most experienced clinicians in the field of whitening – Zaki Kanaan and Dominque Kanaan. You will receive two hours of intensive quality training in Whitening treatments, followed by a live demonstration in the theatre, then hands on practical sessions, giving you an invaluable insight into the various whitening techniques available. The course is certified - only £299 + VAT.Smile Design – This hands-on workshop led by Adrian Jurim and coordinated by Jurim Dental Studio will highlight the concepts, techniques and materials needed to fabricate exceptional, natural looking provisionals which will in turn be the blueprint for a successful case. This workshop style course will gain you 2.5 hours of verifiable CPD at only £250 + VAT. This is a rare opportunity to learn from an expert, largely acknowledged as the best in the world.The Grand Reunion - No matter when you were there, I am sure you agree your university days were the best. We are bringing old and new friends together at the NEC on Friday 19thMarch. Once you have arrived it is time to let your hair down, dust off your colours as fancy dress is the order of the evening and get ready for a night to remember. Entertainment will include A University Challenge, Spoof Awards Ceremony and a Bun Fight. Tickets for the evening cost £75 + VAT each and will include a three course sit down meal.Botulinum Toxin Taster - The 2.5 hour taster session designed to give delegates a real opportunity to see if injecting is for them; at a special price of £99 + VAT.Tooth Out, What's Next? - Post extraction socket ridge preservation. Hands-on master class with Dr. Karl-Ludwig Ackermann @ only £150 + VAT. Includes a clinical lecture, live demo and hands-on training.
Title:
*
First Name:
*
Last Name:
*
Job Title:
* Please select... Principal / Partner Associate Dentist Dental Surgeon Dental Hygienist Dental Nurse Dental Technician Dental Therapist Laboratory Owner Practice Manager Trade Professional Other (please specify)
Other:
E-mail Address:
*
Telephone No:
Which days would you like to attend?:
* Please select... Both Days Friday Saturday
I would like to attend:
* Please select... Conference and Exhibition Exhibition Only
Which free seminar(s) would you like to attend?:(please tick all that apply)
*
Which seminar(s) would you like to attend?:(please tick all that apply)
White Talks - learn how to carry out whitening, safely and predictably, from two of the most experienced clinicians in the field of whitening – Zaki Kanaan and Dominque Kanaan. You will receive two hours of intensive quality training in Whitening treatments, followed by a live demonstration in the theatre, then hands on practical sessions, giving you an invaluable insight into the various whitening techniques available. The course is certified - only £299 + VAT.Smile Design – This hands-on workshop led by Adrian Jurim and coordinated by Jurim Dental Studio will highlight the concepts, techniques and materials needed to fabricate exceptional, natural looking provisionals which will in turn be the blueprint for a successful case. This workshop style course will gain you 2.5 hours of verifiable CPD at only £250 + VAT. This is a rare opportunity to learn from an expert, largely acknowledged as the best in the world.The Grand Reunion - No matter when you were there, I am sure you agree your university days were the best. We are bringing old and new friends together at the NEC on Friday 19thMarch. Once you have arrived it is time to let your hair down, dust off your colours as fancy dress is the order of the evening and get ready for a night to remember. Entertainment will include A University Challenge, Spoof Awards Ceremony and a Bun Fight. Tickets for the evening cost £75 + VAT each and will include a three course sit down meal.Botulinum Toxin Taster - The 2.5 hour taster session designed to give delegates a real opportunity to see if injecting is for them; at a special price of £99 + VAT.Tooth Out, What's Next? - Post extraction socket ridge preservation. Hands-on master class with Dr. Karl-Ludwig Ackermann @ only £150 + VAT. Includes a clinical lecture, live demo and hands-on training.
Your Profile
1. What best describes your Practice type?:
* Please select... Mixed NHS Private
2. How did you hear about the event? :
* Please select... BADT BDA News BDJ BDPMA CODE Dental Health Dental Practice Magazine Dental Technician Dental Tribune Dental Update Dentistry DPA DTA E-shot from The Dentistry Show Exhibitor GDPUK Hygienist.co.uk Private Dentistry Smile The Dentist The Probe Vital Other (please specify)
Other:
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