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 Fees:
Dentists: $2,400* full program
Same Practice assistants: $125* per day / $350* for all 4 days
*CAD plus GST
Kindly enroll me with the Milan Somborac Course on
April 23-26, 2008
Dr.(s) _____________________________________________ D.D.S.
D.M.D
Address ________________________________City____________ Prov__________ Code
___________
Phone ___________________ Fax __________________
Staff names & letters ____________________________________________________________________
Email:__________________________________
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