Cold Laser Therapy: Biological Effects & Clinical Applications

TO REGISTER By email: Forward completed Registration form to info@theralase.com (After selecting 'Forward' you will be able to type into form) By Fax: Fax completed Registration form to 1.416.447.3020 By Phone: 1.866.843.5273 ext:243 Registration Form - Cold Laser Therapy: Certificate Course Name: Address: City: Province / State: Postal / Zip Code: Phone: E-Mail: Method of Payment Cheque (payable to Theralase Inc.) Visa: MasterCard: Amex: Credit card Number: Expiry Date:

Theralase Inc.
29 Gervais Drive suite 102
Toronto Ontario m3c1y9
Canada