Home
Dental Providers
Eye Doctor
Hospital Metropolitano
Video Clips
Seminar Photos
Sign Up Now
Contact Us

If you have questions, or would like more information, please leave your name and contact information.

If your ready to sign up, SKIP this form as we will be sending you the registration and we receive your PayPal notice.

First Name:
Last Name:
Email Address:
Address:
City:
State:
Zip Code:
Comments:
Security code:
 *
Do not enter anything in this field:

* indicates a required field

Sign up now to reserve your space at this very special price!

After your payment is received we will send you a Enrollment Form

You can reserve your spot and the Special Early Bird Pricing with a Down-Payment of only $300, see drop down menu below.

If you are signing up using the PayPal link, you do not have to fill out the form below as we will be sending you a separate form after payment is received.

Thank you, and we look forward to meeting you at the Conference and showing you everything Costa Rica has to offer.

Medical Conference 2012

Costa Rican Medical Tourism Council
PO Box 1088
Lake Geneva, WI 53147
USA Phone 262-374-4032

Costa Rican Medical Tourism Council
Escazu, Costa Rica

Email Us


Site Powered By
eBizWebpages.com
Online Website Design