Register online for Practice Buyers Seminar

Contacts
Please submit at least one method of contact
Business:
Home:
Mobile:
Fax:
Email:
Preferred contact:	(to select multiple options press control/command & click again)

Attendee and location details
Number attending:	*
Please enter names of others accompanying you (if applicable):
Preferred date:	*

Payment details
All fees are GST inclusive and in $AUD
	Dentists registered with DJS Practice Sales Service 495.00 Number of registered dentists:
	Dentists not registered with DJS Practice Sales Service $605.00 Number of dentists:
	Non dentist partners attending with a dentist $165.00 Number of non dentist partners:
	Registration fees (GST inclusive, all fees include a light lunch and morning / afternoon tea)
Payment method:	*
Amount:	$ 0.00
Please make cheques and money orders payable to Dentist Job Search P/L.
For all credit card payments, you will be redirected to our secure payment page once you click 'Submit' button. We accept MasterCard, Visa and Bank Card only.

DJS seasonal update and special offers
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