Submitting an application

If you would like to submit an application for sponsoring, we would like to ask you to use the PDF document which can be downloaded below.

Please forward the fully completed application to info@dentalclinics.be or send it to the following address :

                 DENTAL CLINICS
                 For the attention of David HATZKEVICH, BDS
                 Belgiëlei 57A
                 2018 Antwerp