4everlearning
Signing up and paying for your Specialist Membership

Signing up and paying for your Specialist membership is fast, simple and secure. Please make sure you have your credit card details to hand ready for Screen 3....

Please provide us with your personal and Specialist details by filling in the form below. Your membership will be confirmed via email sent to the address below. You will then be provided with login details that will allow you to amend and add to your details.

* =Required field

Title:

*

First Name:

*

Surname:

*

Address at which you accept referrals:

*

 

Postcode:

*

Country:

*

Telephone:

*

Fax:

Email address:

*

Qualifications:

Practice Name:

*

GDC No:


Select all GDC recognised speciality that you are registered under: (there is no extra charge for this)

 

 

Dental and Maxillofacial

Dental Public Health

Endodontics

Oral medicine

Oral Microbiology

Oral Pathology

Oral surgery

Orthodontics

Paediatric Dentistry

Periodontics

Prosthodontics

Radiology

Restorative Dentistry

Surgical Dentistry


PAYMENT DETAILS for Specialist promotion


SPECIAL PROMOTION RATE


COST

VAT

TOTAL

Single UK Region

£170.00

£29.75

£199.75

Each Additional Region

£79.00

£13.83

£92.83

Please add number of additional areas below.

To see the regions available please look at the map on the right.

All UK Regions:

LOOK AT THE SAVINGS FOR TOTAL UK COVERAGE INCLUDES ALL REGIONS

COST

VAT

TOTAL

ALL UK Regions

£595.00

£104.13

£699.13

Main Location:
Please choose your main area of work. You may then choose as many additional areas as you desire or even include referrals from the whole of the UK

Scotland

Northern England

Midlands

South East

London

South West

Wales

Ireland

Northern Ireland

Southern England


Additional Location(s):
Please check above prices and select the additional areas you desire

All Locations

Select Below

Scotland

Northern England

Midlands

South East

London

South West

Wales

Ireland

Northern Ireland

Southern England


About yourself:
Please let us have up to 120 words about yourself including the type of referrals that you wish to accept. On receipt of your application you will be given your own template to fill in all other details.

   

We will also offer members an "Ask the Specialist" service. Members can ask questions and receive answers on-line. If you would like to be considered as one of the Specialists featured,which includes a direct link to your own page please
tick the box and we will send you further details
.

Preferred method(s) of referral:
You may choose as many as you wish

 

YES

NO

Letter

Fax

Phone

Email

I have completely read and agree to all of the Terms & Conditions.
 

 


For further details on paying for your membership and details of our refund policy click here

Pay easily by card  today

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