Booking form

Foundations in Contemporary Endodontics – Introductory Course
Wednesday 21st & Thursday 22nd November 2012
2 Day Course - £875.00 per delegate (Non-refundable deposit of £350 required on booking)

To book your place simply fill out the form below and press the submit button we will then contact you to arrange payment of the non-refundable deposit.

Surname/Family Name:
First Name:
GDC Number:
Name as you wish it to appear on name badge:
Address:
Postcode:
Your email address:
Contact phone No (no gaps):
Special Dietary Requirements:

MANDEC Course Terms and Conditions

• All deposits are non-refundable and non-transferable in all instances.

• The full balance must be paid no later than 28 days prior to the course start date. Cancellations
   made after this point will be subject to a 100% cancellation fee (ie the full price of the course).

• Applications will be accepted on a first-come, first-served basis. Places will be allocated on receipt
   of the completed registration form and payment of the deposit.

Once the booking form and deposit have been received full confirmation will be sent out.
T:0161-275-6719 or 0161-275-6645