You are Registering for Elegant Sicily 2022

Taking place from October 10, 2022 to October 17, 2022

Diagnosis and Treatment Planning
Featuring: Dr. Jack Lipkin, Prosthodontist

 

Personal Information

  • Passenger Information: Legal name as it appears on passport.
    A fee of $50.00 will be charged for any name corrections after final payment.

  • * n/a if does not appear on passport
  • Passport Information

  • A copy of the photo page of your passport must be mailed in to CWT prior to final payment.