Focus Workshop Registration

MEDIFAB FOCUS WORKSHOP REGISTRATION 2017
PRODUCT INTEREST GROUPS: Select as many as appropriate to your team*

WHEELCHAIRS & SEATING: Zippie Iris , Quickie Iris, X'Cape, new Spex Seating releasesSTROLLERS: Shuttle Discovery, Bingo Evo, Pixi, ZipINDOOR SEATING: Jenx Bee Seat, Corner Seat, Jenx Junior Chair, REAL WorkchairCAR SEATS: Ipai, Kidslover, Starlight, Carrot 3000, Carrot XL, TimySTANDING: Standz, Multistander, Supine Stander, Monkey, Smart-StandWALKING: Grillo, Elite WalkerBATHROOM: HMN Commode Range, Spaghetti, Ultima Bath Chair, Seahorse PlusLYING: Kid'in'Form, CareWave, Symmetrisleep, Dreama and SleepShapeOverview of remaining products that are applicable to my team
Notes, Questions or Comments:
Workshop Venue
Preferred Date

DayMonthYearHourMinutesAM/PM Option
Approximate No. of attendees
Workshop Organiser*

First NameLast NameProfession
Phone Number*

Area CodePhone Number
Main Email*
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MEDIFAB FOCUS WORKSHOP REGISTRATION 2017