3Shape TRIOS Care Symposium UK
Friday 27 June 2025
Customer Name
*
First Name
Last Name
Email Address
*
drbob@3shape.com
Phone Number
*
Please enter a valid phone number.
Format: 00000000000.
GDC Number
*
If you don't have a GDC number, type N/A
What is your role?
*
Principal Dentist
Associate Dentist
Dental Nurse
Practice Manager
Specialist
Clinical Dental Technician
Other
Dietary requirements
Specify your dietary requirements and any allergies
2nd Attendee Name (leave blank if only booking 1 place)
First Name
Last Name
2nd Attendee Email Address
drbob@3shape.com
2nd Attendee GDC Number
*
If you don't have a GDC number, type N/A
What is 2nd attendee's role?
*
Principal Dentist
Associate Dentist
Dental Nurse
Practice Manager
Specialist
Clinical Dental Technician
Other
2nd attendee's Dietary requirements
Specify your dietary requirements and any allergies
3rd Attendee Name
First Name
Last Name
3rd Attendee Email Address
drbob@3shape.com
3rd Attendee GDC Number
*
If you don't have a GDC number, type N/A
What is 3rd attendee's role?
*
Principal Dentist
Associate Dentist
Dental Nurse
Practice Manager
Specialist
Clinical Dental Technician
Other
3rd attendee's Dietary requirements
Specify your dietary requirements and any allergies
Practice Name
*
Company Address
*
Practice Name
Address
State / Province
Postcode
Do you already own an intraoral scanner?
*
Yes
No
Which Intraoral Scanner do you already own?
*
TRIOS
iTero
Medit
CEREC
Shining 3D
Dexis
Sirius
Other
Your TRIOS Dongle or Subscription ID
How did you hear about this event?
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Email from 3Shape
Call from 3Shape
Email from Swift
3Shape Academy
Event or exhibition
Via reseller
Via colleague
Social Media
3rd party Media
Google search
Other
Additional Comments
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