Home   Lectures    Registration   Exhibitors   Guide    Hotels    Contacts    Site map   Dental products
  REGISTRATION          
                 
8th International Congress on Esthetic Dentistry - CIDE 2005  
        For your registration on line, please fill in the form hereafter. For your payment, please send your cheque payable to CIDE at the address below.  
        If you wish to pay with credit card (Visa), send to the CIDE your card number. Do not
forget to specify the expiration date of your card.		  
               
      IMPORTANT : no online registration will be validated prior to the receipt of payment via Canal 55  
        Address :
CANAL 55 - Congress / CIDE 8th
17, rue Jean Daudin - 75015 Paris
T.+33 (0)1 56 37 97 52 - F. +33 (0)1 43 37 65 03
Contact : Catherine TEYTOT
E-mail : congres.cide@canal55.com		  
             
               
             
     
  Dr    Mrs    Mr    Miss
Last name  
First name  
Speciality  
Address  
Zip code  
City  
Country  
Telephone  
Fax  
E-mail  
       
 
        Registration fees  
        1 day = 240 €      
        2 days = 430 €      
     
Seminar date  
Payment by  
If you pay with credit card Visa Mastercard  
Name of holder  
Card Number*
(* * if you print this form) 		 
Valid untill  
Seminar  
Number of attendees  
TOTAL €  
Housing I require a hotel reservation. Send me Artours offers and prices.
Remarks
     
       
 
               
           
               
               
        Top of page