CONTOUR system Register For One day Course

Doctor/Physician Full Name: Medical Specialty: Surgical Experience: Yes / No: Practice Name: Address:   City State Zip Code: Office Phone: Fax: Email: Cell Phone: Web Address: Office Contact: Name & title of staff: Attending course:       One Day Course with half day of live surgery - $2,000 N/C * All courses include a complete didactic review. WCG-PM-097R16 11/05 Confirm your attendance today by faxing this completed form. For additional information, please call or email David Geofroy Tel: (305)-715-0303 or 715-0101 Fax:305-715-0360 Email: actimedproduct@yahoo.com. Special Offer: Only in this course you could get an introductory discounted price per box of 20 Contour Threads at US$ 1,746.00 per box. Regular price US$ 1,940.00. If you want us to deliver the boxes to you during your staying in North Carolina, please let us know before you coming to USA.