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College/Institution where you currently study / graduated from:

*Status: Graduate Thesis writing student Student Health professional
For students only

Student: which year? 1 2 3 4 5

ADOQ member:
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ROQ member:
ROQ member (member number)

Consult the website for the course codes

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Choose your mode of payment (your payment will be processed one month before the beginning of the course):

*Payment: Credit Card Cheque
Credit card: PLEASE contact the college to give your credit card number at 514 342-2816 extension 0
or write your credit card information on the registration form and fax it to 514 731-7214

Cheque: Or label your cheque to the Collège d’Études Ostéopathiques You may return your registration and payment to the following address: Collège d’Études Ostéopathiques, 2015, Drummond Street, 5th floor, Montréal, Qc, H3G 1W7

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