Surrey LDC Study Day
Saturday 27th January 2018 at Cobham Hilton

Please complete the registration form below.

The day is free and open to all Surrey dentists and members of their team.

Name:*
GDC Number*
Role in practice*
Practice name*
Practice address*
Post Code*
E-mail address:*
Preferred Contact Telephone Number*

The statutory levy is being used to fund the day

Non-attendees and late cancellations after Friday 21st January 2018 will be charged £25 as this reflects your cost for the day.

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