| Register for San Antonio
Course, 12/4/08 - 12/6/08
Assessment, Interpretation &
Management of Balance Disorders
Note: Fields in RED must be entered to submit
information.
A representative of Micromedical Technologies will contact you within 2 business days to confirm and receive payment
information. You can also print a copy prior to submission for your
records. Alternatively you can print this form and mail your check payable to
Micromedical Technologies to our corporate office:
ATTN Course Registration
Micromedical Technologies
10 Kemp Drive
Chatham, IL 62629
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