Interx Workshop Registration

RehaCare Pty Ltd, ABN # 61 168 379 691 T: 1300 653 522 E: sales@rehacare.com.au
InterX Therapy - Workshop Registration
Name

First NameLast Name
E-mail
Organisation
Occupation
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Mobile Number
Venues and Dates
Workshop and Cost
prevnext( X )
Melbourne - Foundation of Pain Management with the InterX (One Day)$195.00 AUD

Melbourne -InterX Advanced Training (One Day)$195.00 AUD

Sydney - Foundation of Pain Management with the InterX (One Day)$195.00 AUD

Sydney - InterX Advanced Training (One Day)$195.00 AUD

Subtotal $0.00 AUDTax $0.00 AUDTotal $0.00 AUD
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