Registration Details

ICA IMPLANT COURSE
 REGISTRATION FORM

To register, please take the time to fill out the information below.

Gender
Any previous implant training?
Indicate your intended course:
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Basic course:         $200 (12o,000 naira)

Advanced course: $200 (120,000 naira)

 

Account Details.

Account Name: International Craniofacial Academy

Bank: Zenith Bank

Naira Account: 1015877191

Domiciliary($) Account: