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First Asia-Pacific

COLTENE KOL Symposium
Kuala Lumpur, Malaysia

14-15 July 2018

kol-apac.coltene.com
Register - COLTENE KOL APAC Symposium

Registration

1Personal & travel information
2Scientific program
3Joint dinners
4Hotel booking

Title*

First name*

Last name*

I will arrive by

Email adress*

Arrival

Destination (from - to)

Flight date and time

Flight number

Departure

Destination (from - to)

Flight date and time

Flight number

Can we help you with your travel arrangements?

Yes

No

Email adress*

I would like to attend

the endodontic program on Friday June 16.

the restorative program on Saturday June 17.

both days.

Joint dinners

on Thursday night.

on Friday night.

both evenings.

Please note my special dietary requirements

Please make the following hotel reservation for me:

Single room

Double room

I don’t need a hotel reservation

Would you like to leave any other comment?

Don't fill this field!

LOCATION

Le Meridien
2 Jalan Sentral Stesen
50470 Kuala Lumpur
Malaysia

www.lemeridien.com

AGENDA

Friday, 13 July 2018

7.30 pm - Welcome cocktail

8.15 pm - Dinner

Saturday, 14 July 2018

„The age of patient centered dentistry”

Chairman: Prof. Dr. Ivo Krejci

Sunday, 15 July 2018

„Taking endodontics to the third dimension“

Chairman: Dr. Antonis Chaniotis, DMD

Registration

1Personal & travel information
2Scientific program
3Joint dinners
4Hotel booking

Title*

First name*

Last name*

I will arrive by

Email adress*

Arrival

Destination (from - to)

Flight date and time

Flight number

Departure

Destination (from - to)

Flight date and time

Flight number

Can we help you with your travel arrangements?

Yes

No

Email adress*

I would like to attend

the endodontic program on Friday June 16.

the restorative program on Saturday June 17.

both days.

Joint dinners

on Thursday night.

on Friday night.

both evenings.

Please note my special dietary requirements

Please make the following hotel reservation for me:

Single room

Double room

I don’t need a hotel reservation

Would you like to leave any other comment?

Don't fill this field!

LOCATION

Le Meridien
2 Jalan Sentral Stesen
50470 Kuala Lumpur
Malaysia

www.lemeridien.com

AGENDA

Friday, 13 July 2018

7.30 pm - Welcome cocktail

8.15 pm - Dinner

Saturday, 14 July 2018

„The age of patient centered dentistry”

Chairman: Prof. Dr. Ivo Krejci

Sunday, 15 July 2018

„Taking endodontics to the third dimension“

Chairman: Dr. Antonis Chaniotis, DMD

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