Contact Us Today First Name*Last Name*Email* Company Name*Phone*Postal / Zip*In order to assign to your account executive, please enter the first 3 digits of your Postal Code or Zip Code.CommentsThis field is hidden when viewing the formTopicThis field is hidden when viewing the formWMC GroupAMDMFATDFLUMHTOHSMultipleUnknownThis field is hidden when viewing the formLead SourceAdvertisementClinicContact FormEmployee ReferralExisting ClientExternal ReferralFA InstructorGoogle AdWordsGroupe ForgetInbound CallISTLifelineOtherOutbound CallPartnerPhysio-ControlProspectingPublic RelationsSeminarTrade ShowWebWord of MouthCAPTCHAEmailThis field is for validation purposes and should be left unchanged. Head Office Head Office 130 Wilson Street Hamilton, ON L8R 1E2 Tel: 905-526-9744 or 1-800-263-9340 Fax: 905-522-0425