I want to participate in the Webinar to know more about KEEOGO

Will your Clinic or Rehabilitation center benefit from Keeogo™?
Thank you for your interest in Keeogo. This survey will allow you to register as a person interested in knowing how Keeogo works and if it is suitable for your clinic or rehabilitation center, or new advantages of Keeogo
This survey should take 5 minutes to complete.
All information provided will be kept confidential and never released to any third party without your express written consent. This information is used only internal pourpuse by B-Temia Inc.
This questionnaire was designed by the B-TEMIA team for comercialization only.
Contact:
B-Temia Inc.
4780 St-Félix Street, Suite 105
Saint-Augustin-De-Desmaures, Québec G3A 2J9
www.keeogo.com
Phone: (418) 653-1010
Email: sales@keeogo.com
Your Contact Information

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* 1. Full name

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* 2. What is your company name?

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* 3. Website?

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* 4. Position / Job Title

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* 5. Direct Phone number 

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* 6. How would you like to receive additional information about the event?

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