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Full Name
Gender	Male: Female:
Age
Email
Address
City
State
Country
Phone No	Intl Code Area Code
Mobile No	Intl Code
The reasons people from my country look to travel outside for medical need are :
I can reach out to the needy who wish to travel outside country for medical need through the following means:

On the receipt of the completed form, we will send you :

a) The draft of the agreement which both the parties will enter into in order to promote indiahealthtour.com
b) Complete guidelines and education kit to promote indiahealthtour.com.
----You will be backed by 24 * 7 complete and total support from our office.

Do you permanently reside in a country outside India?

Do people in your country need world class medical care at reasonable prices?

Are you a general practitioner or are you involved in the healthcare service industry
in your country?

Can you reach the people who need immediate medical care directly or indirectly?

And most importantly do you want to earn from introducing the life saving and life
enhancing medical services to the people who need.

If Yes, Please fill the given form and send us immediately:

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