(07) 3287 5250
admin@plasma-tech.com.au
Home
About Us
The Benefits
The Product
Demos
FAQ
Contact Us
Medical Centre Registration Form
Home
> Medical Centre Registration Form
Medical Centre
The Medical Centre Registration
Please fill out all required fields (marked with an asterisk).
Required field(s) (marked with an asterisk) are invalid.
All required fields are valid. Submit when you're ready.
State or Territory:
ACT
NSW
NT
QLD
SA
TAS
VIC
WA
Facilities Check List
Parking
Disabled Access
Bathroom
Family Medical
Immunisation
Radiology
Blood Pathology
Dentistry
Physio Treatment
Acupuncture
Accident & Emergency
Ante-Natal Care
Medical Examinations
Smoking Cessation
Dietary Obesity
Occupation Health
Podiatry
Other Facilities (specify):
Special Instructions:
Do you have your own music system installed?
Do you currently have a music license?
* I agree to the
terms and conditions
and am duly authorised to sign for the
grantor
(You must agree with the terms and conditions to register)
SUBMIT
Listen to actual Captivate Radio Productions voice demos categorised by industry.
Click here to view demos!
