SmileCare Dental Assistants Training Program PLEASE ENROL ME ! Please enter your personal details and your payment details in the form below. If paying with a credit card, please note that a 2% surcharge applies. If you prefer to pay in cash, please come to our admin office to enrol personally and to pay your deposit OR Select your preferred payment option below, print this page, complete your details, then attach it to a money order and post to: Sydney College of Dental Nursing PO Box 5432 Chatswood West 1515. Title (Mr, Mrs, Ms, Dr.) : First Name: Last Name: Address: Suburb: State: Postcode: Daytime Phone: Mobile: Email: Preferred Payment Option: Cash, Credit Card, Payment Plan1 and Payment Plan 2 FULL FEE - $2870 CASH FULL FEE - $2927.40 (Credit Card) PAYMENT PLAN 1 - $1435 PAYMENT PLAN 2 - $500 Name on Credit Card: Credit Card Number: Expiry Date: Comments: Enter comments here!
Your Credit Card Payment Will Appear On Your Statement As "DENTERNET" .