MASTER FITTER CERTIFICATION

June 13, 2018
Noon-4:30pm
Courtyard Syracuse Carrier Circle
Syracuse, NY 

Please complete the following questions to sucessfully sign up for medi USA workshops! 

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Work Phone* Cell Phone*
Professional Designation (OT, PT, etc) Facility/Business Name
 
ABC/BOC Number (if applicable)
Business Street*
 
Business City* State*
 
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Course Date*
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Thank you for particpating in medi USA's workshops!