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DentalForum USA 2017

DentalForum USA 2017

October 4-6, 2017

Hyatt Regency Scottsdale, Arizona

Hyatt Regency Scottsdale, Arizona | October 4-6, 2017

Please enter your details below and press the confirm booking button when complete.

* Indicates required fields

Company

* Company Name:

* Address:

* Postcode:

* Country:

* Telephone:

Website (http://www.):

Company Twitter URL (please include http://):

Company Linkedin URL (please include http://):

Number of practices in Group:

Number of chairs in group?:

Which products/services are you interested in?:
chairs and furniture
consumables
cosmetic treatments
pain management & anaesthetics
small equipment: compressors, suction pumps, cutters, polishers
materials
dental lab services
digital imaging CAD/CAM
x-rays
implants & accessories
orthodontics
sterilisation equipment
lighting & practice fit-out
practice management software
legal & financial services
property brokers
recruitment agencies
marketing services

Company Logo:

PA (if applicable)

Full Name:

Email:

Delegates

* First Name:

* Surname:

* Job Title:

* Telephone:

* Mobile:

* Email:

Personal Twitter URL (please include http://):

Personal Linkedin URL (please include http://):

Skype ID:

Dietary Requirements:

Please uncheck this box if you do not require accommodation.

* First Name:

* Surname:

* Job Title:

* Telephone:

* Mobile:

* Email:

Personal Twitter URL (please include http://):

Personal Linkedin URL (please include http://):

Skype ID:

Dietary Requirements:

Please uncheck this box if you do not require accommodation.

* First Name:

* Surname:

* Job Title:

* Telephone:

* Mobile:

* Email:

Personal Twitter URL (please include http://):

Personal Linkedin URL (please include http://):

Skype ID:

Dietary Requirements:

Please uncheck this box if you do not require accommodation.

* First Name:

* Surname:

* Job Title:

* Telephone:

* Mobile:

* Email:

Personal Twitter URL (please include http://):

Personal Linkedin URL (please include http://):

Skype ID:

Dietary Requirements:

Please uncheck this box if you do not require accommodation.

Terms & Conditions
1. Submission of this booking form establishes a formal contract between the named dental group and OpenRoom Events (the organisers) under the following terms and conditions. In submitting this form you confirm that you have the relevant authority, on behalf of the named dental group, to enter into this agreement.
2. Buyer delegates qualify for one complimentary place per dental group. Additional delegates from the same group are simply required to cover their direct onsite costs.
3. The complimentary place includes participation in the forum; two nights’ accommodation (4th and 5th October 2017); event meals and delegate directory.
4. Flights, insurance and visas (where applicable) must be arranged by delegates and any changes to flight schedules are the responsibility of the delegate. The organisers are not responsible for any disruption resulting from changes to flight schedules.
5. Buyer delegates are required to attend all pre-arranged meetings. Delegates who do not attend the meetings will be charged for his/her onsite costs.
6. Supplier delegates book and pay to attend the forum on the basis of the list of sponsored delegates. Any buyer delegate who becomes unavailable to attend the forum will be required to field a suitable replacement. 
7. By clicking Confirm booking below you agree to the above Terms and Conditions.

I on behalf of agree to the above terms and conditions on .

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