Registration form Update Implantology IX

27. to 28. May 2011 in Heidelberg

Salutation	Mr. Mrs.
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I wish to register the following number of persons to the following event components:   Update Implantology IX Congress both days for the price of 375, - € / person persons Update Implantology IX Congress both days for students and assistant doctors at a price of 150, - € / person persons Workshop Introduction to the technique of the new GBR-materials (Hands-on Course) (Admission free) persons Workshop Introduction to a new, simplified method of a safe and internal Sinus Lift (Admission free) persons After Work Party "Riverboat shuffle" at a price of 85, - € / person persons
Message

Those registering receive a bill with the registration fee that you have to
tranfer to the account of the forum innovative dentistry Heidelberg e.V. at the
Volksbank Neckartal:
Within Germany:
BLZ: 67291700, Konto: 11 3333 03

from abroad:
(BIC) GENODE61NGD, (IBAN) DE92 6729 1700 0011 3333 03
Those registering after 11 March have to pay the fee in cash.

Reserved rooms "Update Implantology"
single rooms 139,- € double rooms 158,50 €
please book directly at Crowne Plaza Hotel Heidelberg
phone: 0049 (0) 6221/9170
If registering after 11 March, the charge is to be paid in cash locally.