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ADA 2018 Meeting
Friday 16th November 2018 - Saturday 17th November 2018

Registration fees:*
Friday 16th November (Member early bird) £155.00
Friday 16th November (Non-member early bird) £165.00
Friday 16th November (Member) £170.00
Friday 16th November (Non-member) £180.00
Saturday 17th November (Member early bird) £265.00
Saturday 17th November (Non-member early bird) £275.00
Saturday 17th November (Member) £290.00
Saturday 17th November (Non-member) £300.00
Both days (Member early bird) £390.00
Both days (Non-member early bird) £400.00
Both days (Member) £430.00
Both days (Non-member) £440.00
Retired members, students, nurses (16th Nov only) £90.00
*The early bird fee will no longer be available after 28th September 2018
Personal Information
E-Mail:*
Email Communication*
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Title*
First Name:*
Last Name:*
Address Line 1:*
Address Line 2:
City:*
Postcode:*
Country
Phone:*
Post held: Dentist/Anaesthetist/GP/Other (Please specify)*
GMC Number:
Dietry Requirements*
Credit/Debit Card Information
Card Brand:*
Card Number:*
Expiration Month:*
Expiration Year:*
Security Code:*
Cardholders Name
CC Postcode*
CC Statement Address*
All cancellations must be received in writing. All refunds are made at the discretion of ADA
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