Participant information for the Nordic Institute of Dental Education 

Welcome to our Dental Anxiety course on 20.3.2020!
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
 
 
 
 
 
 
Sign me up for the complimentary Planmeca Digital Perfection visit program on Thursday
 
 
 
 
 
My partner will join me for this trip.
 
 
 
If your partner is joining you for the trip, he/she is very welcome to join the Planmeca Digital Perfection Tour on Thursday.

  
 
I or my partner have a special diet. Please specify in detail.
 
 
 
 
 
 
 
 

Participant background information 
   
 
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: 750,00€ (+VAT 24% = 180€, if applicable)

    
HOTEL
We have negotiated special prices for the course participants at selected hotels in Helsinki city center. Registered participants will receive more information on the hotel options. Transportation to the training center during the course days will be complimentary from the recommended hotel. 


  
Additional information / Campaign code
 
 
 
 
 
 
I have read and agree to the Terms and Conditions. 
I agree.*