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Register for Event

ADSS Forum 2019

A seperate registration form must be used for each participant. Please write in block letters and return completed form with payment (Cheque / Bank Draft) to: "Aesthetic Dentistry Society Singapore", c/o 2 College Road S(169850). Email us: adsssecretariat@gmail.com.

PARTICIPANT'S DETAILS
* are required fields.
Name *Dr Mr Mrs/Ms
Clinic/Institute *
DCR (For Singapore Dentists Only)
Mailing Address *
Postcode *
State/Country *
Contact Number *
Email *
ADSS MemberYes No
I am interested in becoming a ADSS member, Please email me the membership form.

Member's rate apply only for current membership.

REGISTRATION FEE
ADDITIONAL PROGRAMS
PAYMENT METHOD
Total Payable (SGD):
Online Offline
REGISTRATION AND CANCELLATION POLICIES

Registration will be valid upon full payment organisers reserve the right to amend any part of the programme without giving prior notice and to cancel or postpone the forum, change the venue, date and/or time of the event. Cancellation of registration must be in writing or email to Aesthetic Dentistry Society Singapore. Cancellation received before --------- onwards or for non-attendance.

FORUM VENUE

City Campus (PSB Academy), Lecture Theatre 2
6 Raffles Boulevard, Marina Square, #03-200, Singapore 039594

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