Registration Form - EndoED121

    Please complete the fields below:

    Please attach the following with your application (Scanned copies only):

    Please ensure that your passport is current with at least six (6) months validity remaining on either side of your expected course departure and return dates

    Do you have any underlying health condition we need to know about?

    NoYesIf yes, what?

    Is there any medication we need to be aware of?

    NoYesIf yes, what?

    Package Options

    Course

    Early Bird Course Only Fee*

    Course Only Fee

    Rotary Endodontics for the General Dentist

    $7,690

    $7,990

    All fees are in AUD$

    * Early Bird 3 months price prior to the course date – 30% deposit paid at the time of registration with the balance due on 3 months prior to the course date.

    Less than 3 months prior to the course date, full payment is required on registration.

    Please indicate one of the following to confirm your registration:

    Course Date

    Course

    Deposit (At time of Registration)

    Balance (Less than 3/12)

    Full Fee (More than 3/12)

    checked

    April 2020

    Rotary Endodontics for the General Dentist



    checked

    August 2020

    Rotary Endodontics for the General Dentist



    Payment terms and Cancellation Policy

    Deposit of AUD$ 30% of the fee to reserve your spot. The full fee is to be paid 90 days before the course start date.
    Cancellation fee 30 days or more from course start date is 50% of course fee refunded.
    Cancellation less than 30 days from course start date will incur no refund