REGISTRATION : 4th Thai-German International Congress 2018

Name :

Lastname :

Email :

Mobile :

Address :

Institution/University :

Lanch :

Registration Type :

PDAT member

General dentist

Dental Student (student ID card is required)

Payment Method :

Credit Card

Bank Transfer

Bank transfer to Private Dentist Association of Thailand

Bangkok Bank (Swift code BKKBTHBK) ฺฺBranch Bumrungrad Hospital

Account No. 031-702-285-3

Verify Spam :

Private Dentist Association of Thailand

Pantip Suite 68 Soi Sathon 1, Sathorn Tai Road,
khwaeng Thong Maha Mek, Sathon Bangkok 10120

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