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<strong>Sagittal</strong> <strong>balance</strong><br />

MASTER COURSE<br />

BORDEAUX<br />

September 30 th - October 1 st , 2011<br />

JC. LE HUEC,<br />

D. CHOPIN,<br />

P. ROUSSOULY<br />

Friday 30 th , 2011 - 08:30am>06:00pm<br />

Saturday 1 st , 2011 - 08:30am>12:00am<br />

Didactic and practical teaching.<br />

How to integrate spine <strong>balance</strong> analysis in your daily practice for diagnosis<br />

and treatment.<br />

Pelvic and spine parameters, normal and degenerative changes.<br />

WORKSHOPS SESSIONS: individual computer analysis with Optispine software.<br />

Cases discussion visit of the 3D low radiation dose imaging System EOS for full body<br />

Limited registration up to 40 participants<br />

Supported by


<strong>Sagittal</strong> <strong>balance</strong><br />

MASTER COURSE<br />

BORDEAUX<br />

September 30 th - October 1 st , 2011<br />

REGISTRATION<br />

Please return this form by post to MCO Congrès – <strong>Sagittal</strong> Balance – 27 rue du Four à Chaux – 13007 Marseille<br />

France – by email: sagittal@mcocongres.com or by Fax +33 (0)4 95 09 38 01<br />

PARTICIPANT INFORMATION<br />

Family Name : ……………………………………. First (given) Name : .................................................................................................………………….<br />

Institution : ………………………………………..Postal adress : ..................................................................................................………………………….<br />

…………………………………………………………………………… .............................................................................................................……………………..<br />

ZIP Code ………………………………….City/Country : ....................................................................................................………………………………….<br />

Phone : …………………………………….Fax : ...............................................................................................................……………………………………….<br />

E-mail : ...............................................................................................................................................................................................................................<br />

REGISTRATION 650 €<br />

including lunch and coffee breaks<br />

ACCOMMODATION<br />

HOTEL BURDIGALA www.burdigala.com<br />

SINGLE B&B<br />

1 night deposit due for the booking 208,45 €<br />

Arrival Date : .................................................................................... Departure Date : ....................................................................................<br />

TOTAL AMOUNT CHARGE<br />

……………………………………………………………………………………………………..<br />

PAYMENT<br />

BY BANK DRAFT : CHAIX Bank 10178 – BranchCode : 00026 – Account N° : 00 00 02 32 01 E – Key : 66 - IBAN FR18 1017 8000 2600 0002<br />

3201 E66 – BIC CHAIFR2A<br />

OR CHECK AT MCO – Please return this form at (MCO Congrès / Sagital Balance 2011 – 27 rue du Four à Chaux – 13007 Marseille – France)<br />

OR BY CREDIT CARD : Visa Mastercard American Express N° : /…/…/…/.../ /…/…/…/…/ /…/…/…/…/ /…/…/…/…/<br />

Exp. Date : /…/.../ Cryptogramme (back of the card) /……………../ Name : ……………………………………………..<br />

Signature :

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