Kogelberg Arcade KLEINMOND

                                                                   PO Box 581 KLEINMOND 7195

                                                                              Tel: 028 271 5321

                                                                                        Fax: 028 271 5521

                                                                                e-mail admin@nospamstickbond.com (remove nospam after @)

                                          www.stickbond.com

 

                       REGISTRATION FORM HANDS-ON COURSE

 

NAME:

 


ADDRESS:

 


TEL:                                                                                 FAX:

 


E-MAIL:

 

 

Module 1:  Periontal splinting, trauma splints and orthodontic permanent retention.  Get the feel of the Fibres as you place a Fibre splint on a plaster model.

 

Module 2:  The anatomical fibre post.  Manufacture your own anatomical post on an “ extracted root canal treated tooth.” 

 

Module 3:  The design and construction of anterior and posterior direct bridges.  Experience the satisfaction of building up a complete tooth on a fibre frame and again a plaster model.

 

Module 4:  The construction of an indirect crown.  Learn how to construct your own fibre reinforced coping with Fibre Net and then create a composite crown using the layering technique.

 

I would like to register for:(please tick)

 


RSVP

 


RSVP

 

9h00-   12h00    Module 1 and 2  

                  

12h00- 12h15    Tea/Coffee break

 

12h15-14h30    Module 3 and 4                     

 

 

FEE STRUCTURE

 

First Hands-On Course attended (includes Crown & Bridge and Perio

Intro Pack)                                                                                                    R1700.00

 

 

 

 

Following Hands-On Courses                                                                           400.00

(For those delegates that would like to attend the course again – materials excluded)

 

Ensure your place by confirmation of payment.

Stick Bond Dental will supply material used during courses.

 

Courses are fully accredited for 6 CPD Points per Course.

 

Limited spaces per Course.

 

RSVP to avoid disappointment

 

PAYMENT

 

                I enclose a cheque made payable to Stick Bond Dental CC

 

OR

 

                Direct Internet Payment:  ABSA BANK

                                         Branch:  334812

                                         Acc.No:  Contact Stick Bond Dental Admin

 

 

 

 

 

 

  SIGNATURE                                                                                          DATE

 

 

 

 


VENUE:  

 

Please bring with:   Flat Plastic Instrument

                                    Tweezers

                                    Scissors

                                    Endo Probe

                                    Curing light