Registration Form - ImplantED121

Please complete the fields below:
Please attach the following with your application (Scanned copies only):






Please ensure that your passport is current with at least six (6) months validity remaining on either side of your expected course departure and return dates
Do you have any underlying health condition we need to know about?
NoYesIf yes, what?
Is there any medication we need to be aware of?
NoYesIf yes, what?
Package Options - Comprehensive Fee includes accommodation
Course
Early Bird Comprehensive Fee*
Early Bird Course Only Fee*
Comprehensive Fee
Course Only Fee
Implant Surgical Placement Stage 1
$14,400
$12,990
$15,100
$13,190
All fees are in AUD$
* Early Bird 3 months price prior to the course date – 30% deposit paid at the time of registration with the balance due on 3 months prior to the course date.
Less than 3 months prior to the course date, full payment is required on registration.
Please indicate one of the following to confirm your registration:
Course Date
Course
Deposit (At time of Registration)
Balance (Less than 3/12)
Full Fee (More than 3/12)
checked
April 2020
Implant Surgical Placement Stage 1
checked
August 2020
Implant Surgical Placement Stage 1
Payment terms and Cancellation Policy

Deposit of AUD$ 30% of the fee to reserve your spot. The full fee is to be paid 90 days before the course start date.
Cancellation fee 30 days or more from course start date is 50% of course fee refunded.
Cancellation less than 30 days from course start date will incur no refund

COURSE UPDATE

Due to the COVID-19 Pandemic, the April 2020 courses have been postponed.

Additional 2020 dates to be announced soon.

Please Register at admin@aiad121.com.au for more information