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Pre- and post-operative images

Entry form 2010 - second edition

"Aesthetic, Passion, Innovation"

Aesthetic Dentistry MENA Awards 2009

Grand Ceremony November 05, 2009
Jumeirah Beach Hotel Dubai, UAE

The Premier Event for Professionals

Sponsors:

Supported by:
Emirates Medical Association
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Your details

The fields with (*) are necessary. Thank you.

*Name (as to be printed )
*Address
*Phone
*Mobile
*E-mail

Choose one of the categories:
One candidate can enter more than one case but in different categories. Provide a separate entry for each category.
	Conservative aesthetic best case
	Prosthetic restoration (fixed and removable) best case
	Implantology and red-aesthetic best case
	Orthodontic best case
	Facial reconstruction best case
	Students best research
	Students best case *
	Charity treated patient best case **

Dental Technician involved in the case (if there is):

Name
Address

(jpeg format, not more than 600KB) are required to allow the judges to evaluate the treatment. The images should be chronologically ordered with a date and title.

Prices:

Payment

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Book your seat at the Awards Gala Dinner Ceremony
November 5^th 2009, Jumeirah Beach Hotel Dubai UAE
Safinah Ballroom, 7.00pm.

• Take your seat at 800 Dhs
• For Group (minimum 3) - 600 Dhs per seat

Download the Registration Form

Students' entries will recieve a Certificate of Achievements on behalf of IADS (International Association of Dental Students) and will participate in the selection for the SCORE Newsletter publication!

Short listed winners' cases will be published in Dental Scientific Magazine - 30 CME!

If there is a problem uploading your case report and pictures please contact us at: info@cappmea.com or simply call: +971 50 2793711

Entry Fee - $ 70

Students Entry Fee - $ 30

Book a seat - $ 90

Free entry (for Charity treated patient category only)

1^stDental - Facial Cosmetic

International Conference
06-07 November, 2009
Dubai, UAE

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