EVENT REGISTRATION FORM

REGISTRATION FORM (CONFERENCE REGISTRATION)

Gala Dinner (only valid for IPERI member)
YesNo

You can buy more than one hands on. Just leave it empty if you dont want it anyone.
HO 1 : Sinus Floor Elevation Technique (only for Resident/Sp.Perio and Resident/ Sp.BM)HO 2 : Management of Socket Bleeding post ExtractionHO 3 : Hands on by John Gunawan Lusari about LASERHO 4 : Extraction with PiezosurgeryHO 5 : Aesthetic Splinting: Tips and TricksHO 6 : Hands on by Benjamin Tan (only for resident & specialist of Periodonsia)HO 7 : Fundamental of Suturing for Daily Practice Dr.drg. Dahlia Herawati, SU, SpPerio(K)HO 8 : Effective Way to Manage Gingival Inflamation Post SurgeryHO 9 : Clinical Laboratory Examination in Daily Practice

Do you want to register for Community Service?
NoYes (IDR 350.000)Yes, member of IPERI Komda Yogyakarta (IDR 300.000)

Do you want to stay in Royal Ambarrukmo Hotel?
NoYes, Deluxe Room (IDR 1.250.000/night)

Do you want to register for a City Tour?
NoYes (IDR 500.000)

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