Names of people attending (Please ensure spelling is correct for the certificate) *
Your answer
Total number of people attending *
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Email address *
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Practice name *
Your answer
Practice address *
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Practice phone number *
Your answer
Dietary restrictions *
Can the New Zealand Society for Sedation in Dentistry invoice the practice for $595 incl GST per person attending? (will not happen until course has been confirmed) *
Please do not book flights or accommodation until you have received registration confirmation from the New Zealand Society for Sedation in Dentistry