Booking Form

1. Your Name:
2. Your Email Address:
3. Confirm Your Email Address:
4. Contact Tel:

Cost – £9,900

Payment Options:

1. 15% deposit, with the balance paid by monthly instalments
2. 10% discount, for full payment in advance

Implant Education Centre

34 Lavender Road

Leicester

LE3 1AL

Tel: +44 (0)116 240 6441

Fax: +44 (0)116 240 6447