COURSE REGISTRATION FORM Aydın TDB 20 2014 TURKISH DENTAL ASSOCIATION .Uluslararası Dişhekimliği Kongresi th International Dental Congress Female Name - Surname: Tittle: Dentist Doctor Asc. Prof. Dr. Graduated University : Address: Zip Code: Work Phone: Fax: Male Prof. Dr. Date of Graduation: Country: City: Home Phone: E-mail: COURSE PROGRAM Cell Phone: You may also make your registration via online www.tdbkongreleri.com 20 Pax 29 May 2014 Assoc. Prof. Dr. Altay Uludamar - Assoc. Prof. Dr. Akın Aladağ 20 Pax 29 May 2014 14:00 - 17:00 14:00 - 17:00 100 EU 100 EU How to achieve success in implant supported restorations: Short introduction of the Nucleoss Implant System Soft tissue surgery tips for achieving a better gingival tissueTips for making a better impression in demanding implant cases Prof. Dr. Kemal Ünsal - Prof. Dr. Ebru Çal Assoc. Prof. Dr. Fatih Arıkan - Dr. Sibel Yiğit 25 Pax 29 May 2014 14:00 - 17:00 100 EU Nitrogen protoxide and sedation Prof. Dr. Özant Önçağ Rotary instruments in endodontics Assoc. Prof. Dr. Senem Özer 20 Pax 29 May 2014 20 Pax 29 May 2014 14:00 - 17:00 14:00 - 17:00 100 EU 100 EU A new approach for resiprocal and rotary systems: TF adaptive system Dr. Mehmet Emin Kaval 20 Pax 29 May 2014 14:00 - 17:00 100 EU Retreatment in endodontics Assoc. Prof. Dr. Tuğba Türk 09:00 - 12:00 100 EU Anterior composite restoration Prof. Dr. Şebnem Türkün 10 Pax 30 May 2014 20 Pax 30 May 2014 09:00 - 12:00 100 EU Chairside CAD/CAM ceramic restorations in severely decayed teeth Dt. Burç Durmaz 20 Pax 30 May 2014 09:00 - 12:00 100 EU Laminate veneer restorations with simplified techniques Dt. Murat Karabıyık 09:00 - 12:00 Ecligner orthodontic appliances Prof. Dr. Yıldız Öztürk Ortan - Dt. Nils Stucki 30 May 2014 30 May 2014 30 May 2014 30 May 2014 30 May 2014 30 May 2014 09:00 - 12:00 09:00 - 12:00 14:00 - 17:00 14:00 - 17:00 14:00 - 17:00 14:00 - 17:00 14:00 - 17:00 14:00 - 17:00 100 EU 100 EU 100 EU 100 EU 100 EU 100 EU 100 EU Free 100 EU 20 Pax 31 May 2014 09:00 - 12:00 100 EU 20 Pax 31 May 2014 Extraordinary implant design and implant-abutment connection Assoc. Prof. Dr. Ali Gürkan - Assoc. Prof. Dr. Bülent Gökçe 20 Pax 31 May 2014 20 Pax 31 May 2014 Assoc. Prof. Dr. Esra Can Composite veneer applications 09:00 - 12:00 09:00 - 12:00 09:00 - 12:00 100 EU 100 EU Fiber reinforced restorations Dr. Haktan Yurdagüven Cementation of laminate veneer restorations Anterior esthetic implant restorations 20 Pax 20 Pax Assoc. Prof. Dr. Güney Yılmaz - Dr. Koray Saadettinoğlu 20 Pax 20 Pax Prof.Dr. Guiseppe Cantotore 20 Pax Prof. Dr. Bahar Sezer Restoration of fractured teeth with composite Dr. Javier Tapia From impression to cementatiobn Prof. Dr. Kemal Ünsal Laser applications in hard and soft tissues Protaper next system 20 Pax 20 Pax Assoc. Prof. Dr. Uğur Ergin - Assoc. Prof. Dr. Nursen Topçuoğlu 20 Pax Assoc. Prof. Dr. Güney Yılmaz - Dr. Koray Saadettinoğlu 20 Pax Dental assistants course Laser applications in hard and soft tissues Dental Erosions: Restorative therapy with direct composite restorations Prof.Dr. Thomas Attin Indirect composite systems - Inlay onlay practica courses 30 May 2014 30 May 2014 30 May 2014 Dr. Oktay Yazıcıoğlu - Dr. Murat Tiryaki 100 EU Novel techniques for pink & white esthetics in implant supported prostheses Assoc. Prof. Dr. Erhan Çömlekoğlu Dr. Pınar Gümüş 20 Pax 31 May 2014 09:00 - 12:00 100 EU Bulk technique in composites and aesthetics Dr. Alper Doğançe Dr. Safa Tuncer - Dt. Meltem Merteren 20 Pax 31 May 2014 20 Pax 31 May 2014 20 Pax 31 May 2014 09:00 - 12:00 14:00 - 17:00 14:00 - 17:00 100 EU 100 EU 100 EU Direct anterior restorations Grand Total METHOD OF PAYMENT Remitted by Bank Transfer Credit Card Account name TL Account Euro Account : Kongre Hesabı : 18804429 : 18804435 Visa Card No Mastercard Expire Date TEB Harbiye Şubesi - 380 IBAN: TR490003200000000018804429 IBAN: TR810003200000000018804435 CVV No. I hereby authorize Aydın Dental Chamber to debit my credit card account with the total value of items booked by me Date Signature Please kindly fill the form and send RECRO TURIZM 1399 SOK. NO:2 D:1 ALSANCAK - İZMİR - TURKEY via mailing or fax to +90 232 464 73 86 Please note the form must be signed and dated. Also please note that there is no need to send the form if you fill the form online. TURNS OF CANCELLATION To cancel the congress registration, you need to inform the congress organization secretary by written petition until 09.05.2014. Please include following informations to the cancellation petition; how the registration fee was paid (bank transfer, credit card…etc) and bank or credit card information to where the registration fee needs to be refunded.
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