Kindly print out form and fax to 416-444-0990, email to info@dental-seminars.com or call Bette at 416-444-4624
Course fee: Drs $345.00 plus GST.  Same practice staff with Dr. $145.00 plus GST.


Kindly enroll me for the Dr. Christensen seminar, Friday, November 5, 2009.


Dr.(s) ____________________________________________________________  D.D.S.    D.M.D

Address ________________________________City____________ Prov__________ Code ___________
Phone ___________________ Fax __________________
Staff names & letters ____________________________________________________________________
 

Please find cheque in the amount of $ ____________ payable to:
Seminar Marketing Services Inc. 706-50 Graydon Hall Drive, Don Mills, ON  M3A 3A4


Visa Mastercard

Card Number ________________________________  Exp. _________
 

Phone 416-444-4624 Fax 416-444-0990 email Info@dental-seminars.com

A professional mountable office certificate will be provided for each Doctor & staff