APDC 2010 - Colombo

Please download the registration form. Please complete, print and forward it to the address listed below. You may alternatively register online using the online registration and payment facility below

Download Registration Form

APDC 2010 Congress Secretariat
C/O Sri Lanka Dental Association
275/75, Prof. Stanley Wijesundera Mawatha,
Colombo 7, Sri Lanka

Tel/Fax : 0094 11 2595147
email : contact@slda.lk or slda@sltnet.lk

A seperate registration form must be used for each participant other than accompanying person

Participant

Title	Professor Dr. Mr. Mrs. Ms.
Last Name		First Name
Institution		Department
Address
Postal Code		Country / Region
Telephone		Fax
E mail

Accompanying Person(s)

Title	Professor Dr. Mr. Mrs. Ms.
Last Name		First Name
Title	Professor Dr. Mr. Mrs. Ms.
Last Name		First Name

REGISTRATION	On or Before 1^st Feb 2010	On or Before 1^st Mar 2010	On site Registration
Dental Surgeons (From member countries of the APDF)	US$ 300	US$ 350	US$ 400
Dental Surgeons (Defence Forces Programme)	US$ 300	US$ 350	US$ 400
Dental Surgeons (From non-member countries of the APDF)	US$ 350	US$ 400	US$ 450
Dental Surgeons (From SAARC countries )	US$ 200	US$ 250	US$ 300
Accompanying Person	US$ 100	US$ 100	US$ 100
Trade & Industry Representative	US$ 100	US$ 100	US$ 150
Dental Hygienist & Technician	US$ 100	US$ 100	US$ 125
Dental Student	US$ 100	US$ 100	US$ 125

Sub Total(A)

US$

SOCIAL PROGRAM
Opening Ceromony - 13^th May 2010	Ticket(s)Complimentary
Welcome Reception - 13^th May 2010	Ticket(s)Complimentary

*Complimentary to all registered congress participant

PRE & POST CONGRESS WORKSHOP
Registration for Workshop(s)
Pre Congress Workshop I (LA I) All Ceramic workshop for Lab Technicians Dr Shiva Shanker (India)	09.00 am - 1.00 pm	Wednesday, 12th May 2010	120 USD
Pre Congress Workshop II (LA II) Cortical Anchorage with Mini Screws : A reliable fix point in our every day practice Dr Bjoern Ludwig (Germany)	09.00 am - 1.00 pm	Wednesday, 12th May 2010	150 USD
Pre Congress Workshop III (LA III) Workshop on implantology Prof N P Lang & Prof L J Jin ( Hong Kong)	09.00 am - 6.00 pm	Wednesday, 12th May 2010	200 USD
Pre Congress Workshop IV (LA IV) Workshop on mini Implants	09.00 am - 6.00 pm	Wednesday, 12th May 2010	200 USD
Pre Congress Workshop V (LA V) Workshop on Porcelain laminate Vaneers Dr Asdin P Turner / Dr Frezin D Vazifdar ( India)	09.00 am - 1.00 pm	Wednesday, 12th May 2010	150 USD
Pre Congress Workshop Vi (LA Vi) Lecture demonstration for Lab technicians Waxing up for metal crowns and metal partial dentures	2.00 pm - 6.00 pm	Wednesday, 12th May 2010	120 USD
Pre Congress Workshop Vii (LA Vii) Revolutions in Endodontic Instruments ( RevoS System) Dr Rashid El Abed ( UAE)	2.00 pm - 6.00 pm	Wednesday, 12th May 2010	150 USD
Pre Congress Workshop Viii (LA Viii) Workshop on Bleaching Teeth/Teeth Whitening Dr Chrish Chen ( Taiwan)	2.00 pm - 6.00 pm	Wednesday, 12th May 2010	150 USD
Pre Congress Workshop ix (LA ix) Immediate Implantation and prosthetic rehabilitation with "Ankylos " Implant System Prof Porus S Turner ( India)	2.00 pm - 6.00 pm	Wednesday, 12th May 2010	150 USD
Post Congress Workshop x (LA x) Workshop on Endodontics (Protaper System) Prof D Y D Samarawickrama (UK)	9.00 am - 1.00 pm	Sunday, 16th May 2010	150 USD
Post Congress Workshop xi (LA xi) Workshop on Implantology - (Imtec System) Dr Kevin Seymour & Dr Gary Pollock (UK)	9.00 am - 6.00 pm	Sunday, 16th May 2010	200 USD
Post Congress Workshop xii (LA xii) Problem Solving in prosthodontics Dr Kevin Seymour & Dr Gary Pollock (UK)	2.00 pm - 6.00 pm	Sunday, 16th May 2010	150 USD
Post Congress Workshop xiii (LA xiii) Workshop on lasers Dr Ajit Shetty & Dr Sanghmitra Dasgupta (india )	9.00 am - 1.00 pm	Sunday, 16th May 2010	175 USD

Note:
1.Attendence at all workshops will be by ticket ONLY
2.All congress workshop participants must pre-register for APDC 2010 Congress
Seating in each workshop is limited prior booking is therefore ESSENTAIL

Sub Total(B)

US$

Grand Total(A+B)

US$

Do you require a formal Letter of Invitation Yes No