Kinatex Sports Physio 4th annual Sports Medecine Symposium held on June 4 and 5 2005

How to register

Please fill in the form below and submit it by e-mail or print and send it to us by either mail or fax at :

Kinatex Mobile inc.
1435, rue Roberval
St-Bruno (Québec)
J3V 3P7

Fax: (514) 257-6427

Registration form

Personal information    Name :    Address :    City :    Postal Code :    Phone :    E-mail :   Kinatex  employee :   At which clinic ? Montréal downtown St-Denis Montréal Jarry Parc Montréal Rosemont Montréal Brossard Montreal West Island Nun's Island Montréal St-Léonard St-Bruno Laval St-Jean-sur-Richelieu Boucherville Montréal Trust Québec Rockland St-Laurent Montréal Côte St-Luc / NDG Montréal Montréal Snowdon   Student Physiotherapy T.R.P. Athletic therapy Other   Other health professional    Profession :    Work Place :

Payment should be made by cheque and mail to :

Kinatex Mobile inc.
1435, rue Roberval
St-Bruno (Québec)
J3V 3P7

All payments must be received 10 days after registration.  Registration is official upon payment.

Confirmation of attendance will be sent upon receive of payment.