Global Dentech Pvt. Ltd. - A Full Service, Well Equipped and State-of-the-Art Dental Lab Specialized in providing Finest Dental Products and Services

Registration Form

Name :

Address:

Tel.no.:	Offi.:
	Res.:
	Mob.:

Fax. no.:

Email :

COURSE TITLE :
	Comprehensive Clinical course in fixed orthodontics (for general dentists)
	Clinical Course in Fixed Prosthodontics
	Clinical course in Implantology for General Dentists
	Management of Complex Prosthodontic patient
	Integrated Practical Workshop in Clinical Dentistry
	Workshop on Veneers and Metal free crowns
	Courses for Dental Technician

Mode Of Payment:	Cheque Cash
Amount: Rs. :
In Words :
Cheque / D.d. No. :
Date :

** Cheque/D.D. to be drawn in favor of “Global Dentech Pvt. Ltd., Mumbai”.
** Course fee is exclusive of 10.2% Service Tax.

Global Dentech
2nd Floor, Lens View, Veera Desai Road,
Andheri (W), Mumbai 400 053. Tel.no.: 26740013/14 Fax No.: 26740014
E-mail: info@globaldentech.com Website: www.globaldentech.com
Course Co-ordinator: Anita Jain