Advanced leadership and communications training for the whole dental practice

Practice Owner's Workshop and
Practice Management Program registration form

Discounts apply if more than one Principal Dentist per practice. Contact Prime Practice for details.

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

Program details

Start date:

* This agreement can be cancelled 7 days after the Practice Owner's Workshop. First monthly payment is due immediately. Second payment due on the 1st of the month following first workshop.

 

Practice details

Principal dentist's first name:
Principal dentist's last name:
Practice name:
Number of dentists:
Number of team members:

 

Address and contact details

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

 

Attendance

Number of principal dentists:

 

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. Cancellations received with more than one month's notice prior to Practice Owner's Workshop, there is a $500 cancellation fee. For cancellations received with less than one month's notice prior to the workshop, there is no refund.

Management Program conditions

This agreement enrolls me in the Practice Management Program. This agreement can be broken at will, but one calendar month's notice is required in writing.
Following Practice Owner's Workshop, this agreement can be terminated within 7 days without requiring one calendar month's notice. Your second monthly instalment is due on the 1st of the month after your first workshop (i.e. Practice Owner's Workshop or Team Systems).
The Practice Management Program covers a maximum of 7 team members plus the Principal Dentist at any Team workshop. If you would like to bring along more than 7 team members to any workshop, you will be charged an additional $250 + GST per person per day (this is not applicable to on-site workshops and Team Systems).

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

 

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Relevant for

  • principal dentists;
  • as this workshop is the start of a career and life-changing journey, we recommend that lifepartners/spouses attend where appropriate;

Upcoming dates for Practice Owner's Workshop

2012
Feb 23 & 24
Prime Headquarters, Sydney
May 17 & 18
Prime Headquarters, Sydney
Aug 23 & 24
Prime Headquarters, Sydney
Sep 19 & 20
Langham Hotel, Auckland
Oct 15 & 16
Prime Headquarters, Sydney

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