Advanced leadership and communications training for the whole dental practice

The Business of Busy-ness registration form

Please note that all fields are compulsory and that your registration will not be processed until payment is received.

Course and practice details

Date / location:
Practice owner's first name:
Practice owner's last name:
Practice:

 

Address and contact details

Country:
Address:
Suburb:
State:
Postcode:
Telephone:
Fax:
Email address:

 

Attendance

Number of practice owners:

 

Payment details

 

How did you hear about us

Please type:

 

Free monthly e-newsletter subscription

Please check this box if you would like to be subscribed to Prime Practice's E-Newsletter (only for registrations that include an email address).

 

Terms and conditions

To avoid disappointment, please do not book travel and or accommodation until your registration is confirmed by Prime Practice. By completing this form, you acknowledge that Cancellations made at least 2 weeks prior to the event in question are eligible for a full refund (minus a $50 + GST administration fee). Up to one week prior to the event, a 50% refund can be made available for cancellations or applicants are able to transfer to another Prime Practice workshop (at the same cost) free of charge. No refund will be given for cancellations made with less than one weeks notice. Substitution of delegates can occur at any time at no additional cost. Cancellations and substitutions must be received in writing by email (events@primepractice.com.au) or via fax (02 9327 5589). A delegate who fails to attend will be liable for 100% of the course fee.

I have read and acknowledged my agreement to these terms and conditions.

 

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