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SEMINARS, WORKSHOPS, LICENSE RENEWAL FEES, CONTINUING EDUCATION FEES
PAY BY CHECK

Orthospinology VIP Member $350 (registration two weeks prior to class); $375 (registration less than two weeks prior to class)
Non-Member $375 (registration two weeks prior to class); $400 (registration less than two week prior to class)
Student/Faculty $150 (registration two weeks prior to class); $175 (registration less than two weeks prior to class)
Risk Management/GA Law $100 (registration two weeks prior to class); $125 (registration less than two weeks prior to class)

License renewal fee $25; Continuing education fee $25

$25 fee if cancelled less than two weeks prior to class

2008-2009 Orthospinology Seminar Schedule

BASIC 1, January 19-20 CLEARWATER, Florida

UPPER CERVICAL CRUISE, February 9-14 call 1-800-376-8978 for details

BASIC 2, March 1-2 CLEARWATER, Florida

BASIC 1, April 12-13 KELLER, Texas

UPPER CERVICAL EVOLUTION, April 17-19 NASHVILLE, Tennessee

BASIC 2, May 3-4 KELLER, Texas

BASIC 1, July 19-20 ATLANTA, Georgia
RISK MANAGEMENT/GA LAW

BASIC 2, August 16-17 ATLANTA, Georgia

ADVANCED, September 12-14 Atlanta, Georgia

AUCCO CONFERENCE, February 7-8, 2009 SAN ANTONIO, TX

PLEASE PRINT OUT THIS PAGE and CIRCLE the appropriate seminar AND continuing education and/or license renewal fee.

"Send your check to
Society of Chiropractic Orthospinology
2336 Wisteria Drive, Suite 110, Snellville, GA 30078
Contact us at 1-800-376-8978

AMOUNT ENCLOSED FOR SEMINAR(S) $________________

CONTINUING EDUCATION $25.00

LICENSE RENEWAL FEE $25.00

TOTAL AMOUNT ENCLOSED $____________________

Dr. Name ______________________________________________
Address

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Telephone

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e-mail ___________________
Fax
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