MICE360 :: Create New Delegate

Terms & Conditions:

Deadline for Early Bird Registration: 15th March 2024.
Voucher not redeemable for cash.
Voucher not redeemable for workshop.
Voucher and Lucky Draw does not apply to the following categories of delegates:
- i. Dental students attending the Conference
- ii. Delegates attending all Workshops
Voucher validity period are from 15th - 17 May 2024.
*RM50 Voucher for visitor is strictly for licensed/certified dental practitioners only.

Designation *

Category *

First name *

Full Name (as per your MyKad / Passport)

Last name *

Badge Name *

Email *

Contact No. *

Mobile No.

Company Name *

Institution / Clinic / Company Name

Job Title

Dietary Requirement *

Address 1 *

Address 2

Postcode *

Country *

State *

City *

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