CME & CULTURAL TOUR OF SOUTH EAST ASIA 

FEBRUARY 8 - 24, 2025
 
PRE - REGISTRATION FORM
 
 
 NO DEPOSIT REQUIRED ! 

      GROUP MEDICAL DIRECTOR:      
   DR. CAROLYN STARK, ROSSLAND, B.C.  
 
 

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.