Participant information for the Nordic Institute of Dental Education 

Welcome to our course Advanced 3D diagnostics on 15.-17.05.2019!
Please fill in the application form to sign up for the course.

 
Salutation*
 
 
First name*
 
 
Last Name*
 
 
Occupation/Specialty*
 
 
If other, please specify
 
 
 
Email*
 
 
Telephone*
 
 
 
Company/Clinic name
 
 
 
 
Address*
 
 
 
 
Zip
 
 
City*
 
 
 
Country*
 
 
Nationality
 
 
 
Participant has a special diet. Please specify in detail.
 
 
 
 
 
 
 
I would like NIDE to book a hotel for me.
 
 
Check-in is during the day prior to the course, check-out is on the day after the course has ended. The hotel has 3-4 stars and is located in the city center at a cost of 120€-150€/night. If you wish for us to book the hotel for different dates please specify below or let us know via email (info@nordicdented.com). The price of the hotel is not included in the course fee and the hotel invoice is due at check-out. Transportation to the training center during the course days will be complimentary from the recommended hotel only.   
 
 
 
Sign me up for the complimentary Planmeca Digital Perfection visit program on Friday afternoon
 
 
 
 
 
Additional information / Campaign code
 
 
 
 
 

Participant background information
  
 
What is your previous experience with 3D?
 
 
 
 
 
 
 
Are you familiar with Planmeca Romexis software?
 
Yes
No
 
 
 
 
 
 
What are your expectations and goals for the course?
 
 
 
 
 

Payment details and visa
  
 
The course is paid by:
 
Clinic / Company
Self
 
Clinic / Company name
 
 
Value Added Tax number (EU)
 
 
 
 
 
Does the participant need a letter of invitation for a visa application?*
 
Yes
No
 
 
 
 
 
 

Total course price: 1500,00€ (+VAT 24% = 360€, if applicable)

     
I have read and agree to the Terms and Conditions. 
I agree.*