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Triple O Dental Labororatories

0121 702 2353

Oral, Orthopaedics & Orthodontics

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Schedule

Course Registration Form

Course V - Advanced Dento-Facial Orthopaedics
7th - 9th December 2018 - Birmingham, UK
Title:
First Name / Initials *:
Last Name *:
Practice Address *:
Town / City
Postcode
Country
Daytime Telephone *:
Fax:
E-Mail Address *:
GDC Registration Number:
Please select your registration option: First Attendance - 999.00
Second Attendance - 499.50
Auxiliary Attendance - 499.50

Our registration terms & conditions are as follows:

A deposit of 200 will reserve a place on the seminar. Registration will only be confirmed on receipt of full payment which must be received at least 7 days prior to the seminar date. Cancellations will attract a 50% administration charge. Cancellations will not be accepted less than 7 days prior to the seminar date.

CFOO reserve the right to change the advertised seminar programme / dates due to any unforeseen circumstances beyond our control.

We accept MasterCard, Visa, Switch and American Express. We will contact you to collect payment details when your registration has been received.

Special Room Rate

A delegate rate of 135.00 on Thursday, Friday and Saturday night at the The Hyatt Regency, Birmingham has been arranged. This accommodation includes free breakfast

To get special rate you must book through CFOO. If you are booking Thursday night, your credit card details will be given to the hotel to confirm the booking. If you would like to reserve one of these rooms please use this online reservation as availability is limited.

Please reserve me a room at the Hyatt Regency at the special delegate rate of 135.00 per night Thursday, Friday and Saturday for:

Thursday Night
Friday Night
Saturday Night

I understand the hotel will expect payment on departure for all accommodation charges.
Deposit Payment

You can choose to pay your deposit online by PayPal account, credit or debit card. Alternatively, if you would like for us to contact you to arrange payment, this is also an option.

I would like to pay my deposit of 200 now using PayPal
Please contact me to arrange payment of deposit