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+ 1 (418)-527-0388     [email protected]

MASTER CUP 2023 – REGISTRATION FORM

1 Step 1
Contact information:
Your professional title:
Which social media do you use?
Have you ever tried our products/solutions?
Business information:
You are:


Why you?


You must provide us with pictures of 2 past cases and describe those cases.


To be officially registered, we need these information:

Picture of yourself in high resolution

You are available from October 5th to October 7th, 2023 to come to Quebec City, Canada, flight and hotel paid by Panthera Dental? (if you are in the top 3)

If applicable: Please enter the name of your VITA representative who referred the Master Cup to you:


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NEED MORE INFORMATION?

Canada (HQ)

9105 rue John-Simons
Quebec, QC Canada,
G2B 0S6
+ 1 (418) 527-0388

USA

22343 La Palma Ave, Ste 128
Yorba Linda, CA
USA 92887
+ 1 (418) 527-0388

France

38 rue Jean Mermoz
78600 Maisons-Laffitte
France,
+ 1 (418) 527-0388

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+ 1 (418)-527-0388      [email protected]

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latest news and promotional emails.
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