Registration Payment

ABOUT
Investigation
- JOURNAL SPIR
- Scientific Work of the Members
FORMATION
INTERNATIONAL TEAM
MEMBERSHIP
- About >
  - Become a Member
- Contact
Interactive Knowledge

Payment information:

Account Name: SPIRC
IBAN: PT50 0010 0000 5440 9500 0018 0
SWIFT/BIC: BBPIPTPL

For payment information click here

Registration
This form is for validating your registration, by paying 20% of the selected course.

Personal Information

Billing Information

* Indicates required field

Name *

First

Last

Phone number *

Name *

VAT Number *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Address *

Line 1

Line 2

City

State

Zip Code

Country

Dental Association Number *

Please upload your payment proof *

Max file size: 20MB

Are you an SPI Premium/Professional Member? *

Yes No

Have you ever attended any other SPI/CIRO Intensive or Post-graduated Course in the past? *

Yes No

If you selected yes please identify your anterior SPI/CIRO Course. *

Selected Course

Intensive Courses *

Intensive Course from Implantology to Aesthetics and Oral Rehabilitation Initiation, Update and Improvement Course in Implant Dentistry Initiation, Update and Improvement Course in Aesthetics and Oral Rehabilitation Advanced Course in Bone and Soft Tissue Regeneration Update Course in Bone and Soft Tissue Regeneration Intensive Course in laser Application in Oral Surgery, Periodontology and Implant Dentistry

Message *

Read the Privacy Policy *

I agree to the Privacy Policy

Submit

Student Information

* Indicates required field

Name *

First

Last

Email *

Comment *

Read the Privacy Policy *

I agree to the Privacy Policy

Submit

Support by Núcleo CIRO

ABOUT
Investigation
- JOURNAL SPIR
- Scientific Work of the Members
FORMATION
INTERNATIONAL TEAM
MEMBERSHIP
- About >
  - Become a Member
- Contact
Interactive Knowledge

RegistrationThis form is for validating your registration, by paying 20% of the selected course.

Personal Information

Billing Information

Selected Course

Student Information

Registration
This form is for validating your registration, by paying 20% of the selected course.