do you offer porcelain veneers? - Norsk Orthoform Depot AS
do you offer porcelain veneers? - Norsk Orthoform Depot AS
do you offer porcelain veneers? - Norsk Orthoform Depot AS
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
PÅMELDING<br />
PHONE: 22 76 01 40 FAX: 22 26 02 30<br />
Kundenummer _________________________________________________________________________<br />
Tannlege _________________________________________________________________________________<br />
Tanntekniker _____________________________________________________________________________<br />
Assistent __________________________________________________________________________________<br />
Addresse ________________________________________________________________________________<br />
__________________________________________________________________________________<br />
__________________________________________________________________________________<br />
Postnr./Sted ______________________________________________________________________________<br />
Telefon ___________________________________________________________________________________<br />
E-mail _____________________________________________________________________________________<br />
Faktura blir tilsendt så fort vi har registrert din påmelding. Påmeldingen er bindende.<br />
Manglende betaling av tilsendt giro regnes ikke som avmelding.<br />
BEGRENSET ANTALL PL<strong>AS</strong>SER. RING NÅ.<br />
VI REGNER MED AT KURSET BLIR R<strong>AS</strong>KT FULLTEGNET.<br />
<strong>Norsk</strong> <strong>Orthoform</strong> <strong>Depot</strong> <strong>AS</strong> Tvetenveien 158 - 0671 OSLO | Postboks 95 - 0617 OSLO | Telefon 22 76 01 40 | Telefaks 22 26 02 30 | E-post: informasjon@norskorthoform.no | www.norskorthoform.no
Change language