Southern Edge February 2025 Late Registrations – Page

2025-02-10-15-Southern EdgeCourse Website Banner-01

Southern Edge Course February 2025

10 - 15 February 2025
Accommodation included:
Accommodation 10 - 12 February 2025: Irene Country Lodge
Accommodation 12 - 15 February 2025: Kwa Maritane Lodge

Delegate information:

Please fill in all the fields to ensure registration and invoice generated is accurate.

Name(Required)

Prefix First Last

Email(Required)

Phone(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Dietary requirement(Required)

How did you hear about the course?(Required)

Dentist Practitioners (DP) number

(In order to submit points to the Dental Professions Board)

Company/Practice name to be included on tax invoice?

(If applicable)

VAT number

(If applicable)

Field of speciality(Required)

Will your spouse be accompanying you on this trip?

Yes

Do you have any additional requests?

Coupon

Southern Edge Course Fee(Required)

Price:

(VAT exclusive amount)

Tax

R0.00

Total

*Kindly note American Express cards not supported

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