Click Online and In-Person Training Inquiry Form - Click Medical

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Request a Training Session Complete the form to request an online webinar or an in-person workshop.

Step 1 of 4

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Your Name*
First Last
Your Email*
Your Phone*
Your Company Name*

What kind of training are you interested in?*
My address of where training will take place*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Your shipping address*
Same as previous

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Your shipping address in case we need to send you any training materials*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

What topic are you interested in?*
Please elaborate on what other topic you are interested in?*
What specific designs or fabrication techniques (tools) would you like us to demonstrate?*
What documentation would you like to request?*
(We will send you digital PDFs to print and share)
- Adjustable Prosthetic Solutions Guide
- RevoFlex Sales Sheet
- QuickFit Lacer Sales Sheet
- QuickFit Strap & Buckle Sales Sheet
- Patient Facing RevoFit Handout
- None

What would be your ideal date?*
Date Format: MM slash DD slash YYYY
If we can't make your ideal date work, what alternative date would you choose?*
Date Format: MM slash DD slash YYYY
What time would be your ideal time of day?*
(in your timezone)

: HH

MM
Approximate number of people attending?*
What setting?
Is there anything else you'd like to tell us?
Please consent to the following:*
Please acknowledge that by when you sign up for a training session you agree to have all participants sign up for our "Can You Adjust?" education program and they will view the course material before the training (which takes approximately one hour). We will send a participate sign-up sheet to capture: name, practice name and email.
I agree to the Can You Adjust Program Commitment
Name
This field is for validation purposes and should be left unchanged.

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CLICK MEDICAL^TM

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FOR PATIENTS

CONTACT US

Email Us

(970) 670-7012

Mailing Address:
PO Box 775245
Steamboat Springs, CO USA
80487

Physical Address
1205 Hilltop Parkway
Warehouse 101
Steamboat Springs, CO USA
80487

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