DC2 Seminar Registration

Please enter ALL Attendees Information details below.

After you SUBMIT the Form, you will be directed to the payment page.

We look forward to seeing you there!

Full Name *

Practice Name *

City *

Province *

Cell Phone *

Email *

TEAM MEMBERS ATTENDING

I / We will be staying for lunch *

YES (Payment made on next page)

NO. We will have lunch on our own.

Please contact us by text for more information:

Dr Colin Elkin: 519-732-6345

Dr. Brian Fitzgerald: 647-999-2851