Friday 26 March - Sunday 28 March 2010 Sydney Convention & Exhibition Centre DARLING HARBOUR, NSW 2009 Click here to send this page to a colleague Please complete the following form to register online - please fill in one form per person attending the show. Remember to fill in your details exactly as you wish them to appear on your entry badge. You may clear the form and start over by clicking on the Clear Details button at the end of this page.

Personal Details
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Category (please select one only)
	Dentist/Specialist		Dental Hygienist/Therapist
	Prosthetist		Armed Service/Government
	Dental Assistant		Practice Manager
	Laboratorty Technician		Other (please specify)

For further information please contact:

ADX10 Australian Dental Industry Association Inc. P O Box 536 STRAWBERRY HILLS, NSW 2012 Tel: 02 9319 5631 Fax: 02 9319 5381 Email: adia@adia.org.au Website: http://www.adia.org.au

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