Booking Form

*Required Fields

Booking Information

I (Your Name)*

accept the Dental Getaways Price Guide.

Email Address*:

Date of Birth*:

Phone Number*:

I accept that the agreed payment to Dental Getaways is for the booking confirmation fee and it is non refundable.

I accept that I pay the cost of my procedure to the Hospital/Clinic after my initial consultation with my surgeon/doctor.

Disclaimer:
Please read the disclaimer carefully because it is an essential contractual condition of all bookings accepted by Dental Getaways.

I have read, acknowledged and fully understand the disclaimer