Surrey LDC AGM 2016

This year the Surrey LDC would like dentists to register for the AGM online and via our website.

Our AGM will be held Wednesday November 9th, at Cobham Hilton 18.30. To aid us with your attendance and ensure we have the correct contact details for you, please complete the form below.

Name:*
Your E-mail address:*
What is your GDC number. If you do not have one, enter NONE*
Practice name*
Practice address*
Post Code*
Preferred Contact Telephone Number*
Do you pay the statutory levy?*
Will you be attending the meeting on 09th November 2016?*
If you are not able to attend, would you like the Committee to bring anything up on your behalf?
If yes, please write a brief summary
Are you satisfied with your LDC Committee?
Is there anything you would like to change with the LDC Committee. If yes, please write a summary below.
Would you like a member of the LDC to contact you about any issues?
Enter word verification, prior to pressing Submit: