by abdallaho

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CUPACAKE ORDER FORM
This form is an order form, which includes PayPal fields. After filling out the form, the user gets redirected to PayPal website for finalizing the payment.
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Early Bird Registration Before May 30th , 2018

G.P Dentists and Specialists
ALD and BAIRD members
Students, Assistants and Hygienists

Terms and Conditions:

**Early Bird Registration ends by 30th May 2018.
**Cancellation fee. Is 50% of the entire fee. before May 30th 2018, and 100% after this date.
**Group Participants of 5 or more will have 10% discount from entire fee.

Payment Methods:

Please deposit the amount of money into Emirates Islamic Bank, made payable to: A F M Advance Training International /Emirates Islamic Bank / RIQ – BRANCH –DEIRA / P.O BOX 6564 Dubai, United Arab Emirates , Account # : 3707518537701 / IBAN No. : AE 760340003707518537701 / Swift Code: MEBLAEAD.

Preferred Method of deposit(s):

Please make sure to scan and send back: 1- Bank transfer/deposit Receipt.2-Completed Reg. form.

For further assistance, please contact us back at: Mob. + 971 50 383 5991 / +971 50 229 8724 E-mail: info@afm-training.com / dr.abdalrahman@afm-training.com

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