Sign up for the course

Complete your pre-enrolment for the course

You'll receive payment instructions by email, followed by confirmation once your enrolment is complete.

Choose your course

Select the course

Personal details

First name

Surname

Professional qualification

Date of birth

Place of birth

Dental practice

Postcode

City

Province

Address

Region

Dialling code

Phone number

Course participant's email

How did you hear about us

How do you know Periocampus?

Payment information

The total fee includes:

The course and all scientific sessions of the event
A certificate of attendance
Two nights in a 4-star hotel. Any extra nights can be booked through the Organising Secretariat on +39 389 871 5885 or by emailing ciao@periocampus.it
A welcome cocktail and aperitivo on the first day
Dinner on the second day
A working lunch on the last day
All coffee breaks between sessions

Payment must be made as follows:

€500 + VAT due at the time of enrolment
The balance settled at least 30 days before the course starts
If you cancel after this 30-day deadline, your deposit will not be refunded. Enrolment is confirmed by email once the deposit has been paid.

Payment method (you'll receive the details by email)

Billing details

Discount code (optional)

Company/business name

Tax code (Codice Fiscale)

VAT number (optional)

SDI unique code

VAT-registered

Yes No

Certified email (PEC)

Address

City

Postcode

Province

Preferred room type

The Periocampus package includes the Sunday and Monday nights

Extra nights

If you'd like to book any extra nights, please contact the Grand Hotel Duomo di Pisa directly on +39 050 561894, letting them know you're attending the Periocampus course (https://www.grandhotelduomopisa.it/). Extra nights are paid for by the participant, directly at the hotel.

Consent and data precessing

I confirm I am registered with my professional regulatory body.

I confirm I hold valid professional indemnity insurance for the current year, as required to take part in the practical sessions.

I confirm I am aware of the course fee, the payment deadlines, and the cancellation terms.

I confirm I have read and understood the Privacy Notice and that I have read and fully accept the Terms and Conditions.

I confirm I am fully aware of the date and venue of the course.

I consent to the processing of my data for accreditation purposes.

I consent to receiving information about new initiatives, courses and promotional material from Bee Queen 33 S.r.l.