THE POWER ZONE™

Register for our Seminars by filling out this form. We will contact you to confirm your registration.

Here are the rates for each Seminar. Please use these to calculate your total charges on the form that follows:

PRE-REGISTRATION The following Prices are good until 7 days Prior to the event.*

  • 1 Primary D.C………………………………………………………………$249
  • 1 Primary D.C. and Office Team………………………………………………$349 (Includes 1 DC, office staff (non DC student), and non DC spouse)
  • 1 Additional D.C…………………………………………………………….$199 (Attending with primary DC of the same office)
  • Student (Must show valid ID)…………………………………………………...$50
  • 1 Team Member (Attending without DC)…………………………………...$249
  • 2 or More Team Menbers (Attending without DC)…………………………$349

DATED REGISTRATION The following prices are good for registration within 6 days prior to and up to the day of the event.*

  • 1 Primary D.C………………………………………………………………..$349
  • 1 Primary D.C. and Office Team………………………………………………$449 (Includes 1 DC, office staff (non DC student), and non DC spouse)
  • 1 Additional D.C……………………………………………………………….$249 (Attending with primary DC of the same office)
  • Student (Must show valid ID)…………………………………………………...$60
  • 1 Team Member (Attending without DC)…………………………………...$349
  • 2 or More Team Menbers (Attending without DC)…………………………$449

Select Program Date:

or

1st Doctor's Name:

2nd Doctor's Name:

Student's Name:

Office Name:

Address:

State:

Zip:

Business Telephone:

Home (Emergency) Telephone:

Fax:

Email:

Number of CA's Attending:

CA's Names:

Number of Associate Doctors Attending (same Office):

Names of Associate Doctors Attending:

Total Charges:

To pay by Credit Card, please call or fax to: Tel:1 (800) 569-7858
Fax: (972) 678-2335
Pay by Cheque?: Yes
Note these terms: * No refunds or exchanges are permitted. A $75.00 processing fee will be charged for any cancellations. Rescheduled programs must be attended within twelve months of the originally purchased program date. All fees paid for the original program minus a $75.00 processing fee will be applied towards the substituted program's complete cost.


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