Call us directly: +45 82 13 84 86

                       Trelleborggade 5, 1st floor, 2150 Nordhavn, Denmark View Location

Application Form

Please note that applicants will be placed on a waiting list. You are not guaranteed admission before we have processed your application and you have received an admission note






    Full Name (required)

    Title

    Date of birth: (required)

    Country of residence: (required)

    Years of active practice: (required)

    Area of specialty (if any)

    Organization:

    Organization Address :

    Your Email (required)

    Telephone number including country code:

    Chosen course date: (required)

    Where did you hear about our laser courses?

    Comments