medi Master Class Workshop

Melville Marriott Long Island

March 26, 2019
8am-4:30pm

 

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

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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*
 
Postal Code* Country*
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Course Date*
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Thank you for particpating in a medi USA workshop!