Personalised complete dentures booking form

Course places are limited to 15 delegates.

Course Venue: Garstang Dental Referral Practice. Weind House, Park Hill Road
Garstang, Lancashire, PR3 1EL

Course Fee: £2,498.33 excluding VAT per person (£2,998 including VAT)

Select your preferred date

Sunday 13 September - BIRMINGHAM

Delegate Name:

GDC Number:

If you are booking a second place please enter their name and GDC number below.

2nd Delegate Name (if applicable):

GDC Number (if applicable):

Schottlander Acc No (if known):

Practice/Lab Name:

Practice/Lab Address

Postcode

Daytime Telephone Number:

Email:

Do you have any special dietary requirements

We will confirm your place by email and post. If you would like your confirmation details posted to another address, i.e. home, please enter your address details here:

Optional postal address if different from above

Where did you hear about this course?

PAYMENT SECTION

Schottlander accepts all major credit and debit cards. If you complete the payment section below we will process your payment within 48 hours (Monday to Friday) and confirm your place by email and post.

Card holders name

Card number (no spaces required)

Expiry date MM/YY

Card Security Code (CVC)

Please tick this box if you would prefer to make the payment over the telephone

We will contact you on the daytime telephone number you provided above

Please Note:

Please Note: For a better learning experience and more focused hands-on teaching your contact details will be shared with Dr Finlay Sutton so he can contact you directly regarding course expectations, course preparation and your specific wishes. They will not be shared with any other third party or used by Dr Sutton for any other purpose. Please click here to view Our Privacy Policy..

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Course Booking Conditions

By ticking this box, you are agreeing to our Course Booking Conditions.

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Presented by Dr Finlay Sutton & Mr Rowan Garstang. TWO DAY COURSE BOOKING FORM

PAYMENT SECTION

Please tick this box if you would prefer to make the payment over the telephone

Presented by Dr Finlay Sutton & Mr Rowan Garstang.
TWO DAY COURSE BOOKING FORM