medi Half-day Master Class Workshop

Columbus Marriott Northwest

February 5, 2019


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

* *
Work Phone* Cell Phone*
Professional Designation (OT, PT, etc) Facility/Business Name
ABC / BOC Number (if applicable)
Business Street*
Business City* State*
Postal Code* Country*
Course Date*

Thank you for particpating in a medi USA workshop!