Kindly print out form and fax to 416-444-0990 or email to info@dental-seminars.com or call Bette at 416-444-4624
Course fee: Drs $325.00 plus GST.  Same practice Staff with Dr. $125.00 plus GST.


Kindly enroll me for the Infection seminar, April 4th 2008.


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. P.O. Box 504, Don Mills Ont. M3C 2T5


Visa Mastercard

Card Number ________________________  Exp. _________
 

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