FNMR Course Registration

Apply to Attend the Facial Neuromuscular Retraining Program

You can use this form to apply to attend the Foundation Course only or to apply for both the Foundation Course and the Practical Workshop. The Program is designed for both Physiotherapists and Occupational Therapists.

PLEASE NOTE: All fields are required.

Payment

Please Note: Do not send payment until your application has been confirmed.

Once my application is confirmed I will pay by:

If paying by CHEQUE please make it payable to Susan Rankin and send via regular mail to:

Susan Rankin
1207 Marsden Court
Burnaby, BC
V5A 3K2
CANADA

If paying by E-TRANSFER (in Canada only) please transfer to:
rankinphysio@gmail.com

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