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Registration and Direct Debit Mandate formsRegistration and Direct Debit Mandate forms

You can either complete the forms 'on screen' and then print, or print a blank form, then fill in the relevent details (in clear type or print clearly in dark ink), sign it (signature required) and send to:-

Parade House
50 The Parade
Cardiff, South Glamorgan
CF24 3AB

You can open the Registration form via the links below.
>>> Registration (Adobe Acrobat PDF Reader Format)
>>> Registration (Microsoft Word Format)

You can open the Direct Debit Mandate form via the following link.
>>> Direct Debit Mandate (Microsoft Word Format)

Help and Information
Please note that it may take upto several minutes to download any item on this page dependant upon the speed of your internet connection.
The forms are available in one or more of two popular formats:-
  • Microsoft Word (.doc)
  • Adobe Acrobat (.pdf)
Therefore, you will require a compatible version of either Microsoft Word or Adobe Acrobat in order to view and print out the forms.

If you do not have either of these programs, you can download free versions via the links below:-

Download Microsoft Word Viewer Microsoft Word Viewer
Download Acrobat PDF Reader Acrobat PDF Reader
  
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Notice BoardNotice Board
Spare Surgery
We have a spare surgery in our dental practice which would be suitable for a dental practitioner or a specialist dental practitioner with some form of patient base. We envisage an expense sharing arrangement for the general running costs but the equipping of the surgery will need to be addressed by the dentist. We are situated in Llanishen in Cardiff – for details of the practice please look at our website www.cedarsdentalpractice.co.uk

Please contact 07768 512979 (Sue) if you need any further information.



Free Directory Listing at "Find a Dentist"
Visit the 'Find a Dentist' directory today to register your practice for free.

Emails Could the following people please resend us your email address; the email address that you have supplied is incorrect:

- Colleen Owens - Paul Stockford
- Tom Harker
- Anthony Hywel

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