Package order form

Doctors or their counselors have the exclusive rights to open an account and take advantage from the services offered for the incorporation of their medical practice.
In order to open an account with, we invite you to fill out the attached form below. We will thereafter send to you an email confirmation of your subscription and the initial necessary documents in order to start the incorporation process

Title (required)

First Name (required)

Last Name (required)

Address (required)
City (required)

Province (required))

Postal Code (required)

E-mail (required)


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