Saturday 3 November 2012 Grand Hotel Palace 305-307 Monastiriou str, Thessaloniki
Международен семинар по Ортодонтия
Registration By e-mail and/or Internet only, at info@orthoshop.gr You will receive acknowledgement of your enrollment by email. Registration fee must accompany application. Registrations on the day of the course will be accepted on a space available basis. Tuition/Fees Orthodontic Society of Northern Greece Members: free Non-Members: 70 Euros paid in advance by credit card (lunch buffet and coffee breaks included) Make your registration until 27 th September 2012 Registration form Name: ____________________________________ Mailing Address:____________________________ City, State, Zip: _____________________________ Email: ____________________________________ Day phone: ______________ Fax:______________ Title: DDS, DMD, DH, DA, Offi ce Staff Course: INTERNATIONAL SEMINAR & 1st BENEFIT- BENEPLATE USERS MEETING IN GREECE Pay by: Check, Visa, MC, Discover, American EX Card number: ______________________________ Exp date: ______________ Security Code:______ Cardholder's Signature: ______________________ Make checks payable to:
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