Name subscriber:  

Surname :  

Postal Address:  

E-mail:

Tel number(Day Time):  

Cell number:  

Please indicate which editions you require for 2009:

Quarter 2 2009 (Sept 2009)          R40 (excluding CPD admin fee of credits)

Quarter3 2009(Nov 2009)              R40 (excluding CPD admin fee of credits)

Both Quarter 2 and Quarter 3       R80 (exlcuding CPD admin fee of credits)

(Please note that no subscriptions will be sent without proof of payment)

Please use "Q2" and your Initials and Surname as reference for your payment into the DENTASA CPD bank account.

EFT

Set Dentasa up as a beneficiary in your online banking facility (see our banking details below). Once your electronic transaction is complete, make a printout of the page confirming payment and fax it to Dentasa at  012 460 9481. Alternatively make a screen dump of the confirmation page and e-mail to dentasa@absamail.co.za.

I have submitted proof of payment

Banking details:

Bank: Absa

Branch: Brooklyn

Branch code: 63045

Account nr: 407 434 8626

Account name: DENTASA CPD

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