Dentistry Show - Registration

Step 1



Title*	Please specify:
Firstname*
Surname*
Maiden name
Job Title *	Please specify:
Do you have a GDC Number	Your GDC number:
Postcode

Company Name*
Practice Name
Address 1*
Address 2
Address 3
Town/City*
County*
Postcode*
Country*
Telephone*
Confirm telephone*
Mobile
Fax
Email*
Confirm Email*
Twitter account Name
Join us on - Linked in
Would you consider exhibiting

In 2012 what will be the biggest priority for your business?
Please specify:
Which days do you plan to attend? (Please check all that apply)
FridaySaturday

Connect
I wish to join ‘Connect’ - the online networking site, so I can search other delegates to communicate with and arrange to meet up at the show. (Please note, only surname, company name, university and year of graduation (if applicable) will be visible. No contact details will be shared.
Data Protection Act
Please tick here if you are happy to receive information from CloserStill Media's healthcare portfolio.
Please click here if you do not wish to receive additional, relevant information, special offers and product news from our carefully selected partners and exhibitors.
Audit Question
Please help us to comply with DPA regulations by answering the following question:
Name of first school attended

Your ticket
Once the registration is complete, your unique registration code, allowing you access to the show, will be emailed to you. However, if you require a delegate badge in advance (through the post), please tick here:
Were you aware that a dental pain study demonstrated: Nuromol provides stronger and longer lasting pain relief than co-codamol and it is not known to cause addiction*?

*Tested on dental pain over 12 hours with 1 Nuromol tablet vs. co-codamol (paracetamol 1000mg + codeine 30mg).