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Local Partners

Your company's service may be a big factor in giving our MedicalTourists the satisfaction they are looking for in having their medical procedures outside of U.S. or their home country.  Kindly fill-out the form. We shall get in touch you after we have processed your application with us.

 

User Login Information
 
*Contact Name:

(Please type your full name i. e. John Smith)
User Information will be the details you enter to login to your online account with MedicalTours Int'l.
*Username:
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Business Information
 
*Business / Facility Name:
Business Information is essential for us to classify and identify you.
*Type of Business / Facility
*Services Offered:
Website:
Business Address Line 1:
Business Address Line 2:
City:
State/Province:
*Country:
*Zip/Postal Code:
Contact Information
 
*Phone Number:

Contact Information will enable us to be in touch with you. We will send you an e-mail after this registration to validate your membership.

Fax Number:
*Email:
*Best time to contact you:
*Preffered method of
contact:
 
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Page visited 1952 times. Last updated on 1/25/2007 5:36:46 AM