CME & CULTURAL TOUR OF VIETNAM, LAOS & CAMBODIA 

FEBRUARY 12 - 28, 2022
 
PRE - REGISTRATION FORM
 
 
 NO DEPOSIT REQUIRED ! 

      GROUP MEDICAL DIRECTOR:      
   DR. MEL BORINS, TORONTO, ON. 
 
 

Registrant Information

    

Number of rooms required: *

Contact Information


Click the optional button below to print a copy of your form for personal records. You must still click the Submit button below to complete your pre-registration.