OMTA FULL MEMBERSHIP REGISTRATION FORM 2018-2019
THIS MEMBERSHIP IS FOR PHYSIOTHERAPISTS OR MEDICAL DOCTORS WHO ATTENDED OMTC PROGRAM
MEMBERSHIP IS FREE FOR 1 YEAR AFTER ATTENDING THE OMTC PROGRAM.
RENEWAL FEES:
For International Applicants 50 $ (Valid For 1 year)
For national Applicants: :400 LE (Valid for 1 year)
YOU WILL RECEIVE AN EMAIL TO REMIND YOU WITH THE RENEWAL 1 MONTHS BEFORE THE RENEWAL DATE.
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Name
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First, middle and last name
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Your name and email will be used as a published contact reference
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Phone number
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City
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Manual Therapy Program Intake Number / VENUE (E.G. COUNTRY, CITY)
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