MEGA Specialist: International Live Surgery Mentorship

Register Below

Full Name *

Email *

Phone *

Please provide the information below for the office that you currently work at.

What is the name of the office you currently work at? *

Address

Street Address

City

State

Country

Postal code

What is your proficiency level in implantology? *

What specific skills or areas do you hope to improve during this course? *

Which clinical procedures do you feel you need more hands-on experience with? *

What would you like to achieve by the end of this course? *

Are there specific diagnostic, surgical, or prosthetic skills you're aiming to master? *

What is the minimum and maximum number of cases you hope to participate in? *

I have thoroughly reviewed the course details, registration inclusions, and terms and conditions provided in the flyer above. I consent to being contacted by both Megagen and Amity Management for the purpose of coordinating and collecting payment. Please sign below. *

Clear

I agree to terms & conditions provided by the company. By providing my phone number, I agree to receive text messages from the business.