https://southernimplants.com/cadaver-course-europe-2024 European Cadaver Course 2024 Delegate information: Please fill in all the fields to ensure invoice generated is accurate.Name(Required) Prefix Dr.MissMr.Mrs.Ms.Prof.Prof. Dr. First Last Email(Required) Phone(Required)Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Field of speciality(Required)SelectDentistDental AssistantDental TechnicianOral HygienistOral & Maxillofacial SurgeonPeriodontistProsthodontistRegistrarCompany/Practice name to be included on tax invoice?(If applicable) VAT number(If applicable) Scrub top sizeXXLXLLMSXSXXSVisit https://tanc.co.za/size-guide/ for a detailed size guide.Dietary requirement(Required)NoneHalaalKosherVeganVegetarianGluten FreeWhere did you hear about the course?Social MediaWord of mouthSales representativeOtherHow familiar are you with Southern Implants Co-axis® Implants? Use it often Tried it before but not familiar with it Never tried it Accommodation information: Accommodation is available at The Hotel des Condes, Barcelona Cost: €300 per night, including breakfast (standard room, single tariff) Please note all lectures will be hosted at the hotel.Accommodation per night Price: (VAT inclusive amount) (Estimate: € 300.00 VAT inclusive)Would you like to book accommodation? Yes No Number of nights to book accommodation for?(Required)Please enter a number from 0 to 4.Indicate which nights you are staying in the hotel:(Required) 28 October 2024 (Monday) 29 October 2024 (Tuesday) 30 October 2024 (Wednesday) 31 October 2024 (Thursday) Cadaver Course Fee Price: (VAT inclusive amount) (Estimate: € 3 500.00 VAT inclusive)Coupon Tax R0.00 Total Please note all transactions calculated in South African Rand values. Consent(Required) I agree to the terms and conditions.*Kindly note American Express cards not supported CaptchaCommentsThis field is for validation purposes and should be left unchanged.
