Mobile:

345-3456-3456


E-mail:

site@email.com


Contact Info


Name:

Address:

Place:

Country:

Phone:

E-mail:






Thank you for registering for the DENTASA AGM.



Members


Member Rate


R 1 200



Non-members


Non-member Rate


R 1 500



Non-members

Upgrade to include membership* of DENTASA for an extra R 250 or R 30:

*membership from 1 June 2011 to 31 December 2011


Employers

Non-member Rate + Upgrade

R 1 500 + R 250

R 1 750

Employees

Non-member Rate + Upgrade

R 1 500 + R 30

R 1 530



DENTASA Awards Dinner

per person

R 450


Special Catering Surcharge

2 x days, fuddle, dinner

R 95 ea




Set Dentasa up as a beneficiary in your online banking facility.


Bank:

ABSA Brooklyn

Account name:

DENTASA

Account number:

150 018 4686

Branch code:

630345

Reference:

Full initials and surname


Once your electronic transaction is complete, make a printout of the page confirming payment and fax it to Dentasa at  086 6295 513.



Alternatively make a screendump (Press "Shift" & "Prt Scr" at the same time and "Paste" in email addressed to DENTASA) of the bank confirmation page and e-mail to dentasa@absamail.co.za.