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Seminar

Name of Seminar:*

Date(s) of Seminar: *

Contact Information

First Name: *

Last Name: *

Chiropractic License:

Office Address

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Address: *

Address #2:

City: *

State: *

ZIP: *

Phone Number(s) & Email

One phone number is required.

Office Phone #

Cell #

Home Phone #

Email: *

This is a no charge seminar

FEES

Regular Registration:

Early Bird:

PAYMENT

Either the Regular or Early Bird Registration amount is required.

Registration is not complete until you have made payment for the seminar. Please make sure to complete your registration.
If you prefer to pay by check, please contact the Post Graduate Department at (800) 842-3234 or (636) 227-2100 ext. 1960.

Discount Code

Discount Code (if applicable)

* Discount will be taken off at checkout

Women's Health Symposium Live In-Person Event Cancellation fee: Your registration may be freely transferred to another person or to a future symposium without any cancellation fee; however, the registration fee will be forfeited if not used or refunded within one year of the original program. If a refund is requested, the cancellation fee is $25 per registrant per symposium canceled (allow 2-3 weeks after symposium for refunds). It is suggested that registrants pre-register and confirm the status of the symposium. Logan University reserves the right to cancel or adjust program dates, times, speakers, or locations if the need arises. Logan University will not be responsible for registrants' expenses should any program changes occur. All classes announced will be held unless 24 hours prior registration indicates insufficient numbers to hold a symposium in which case those registered will be notified by phone or fax.

* denotes required information

Women's Health Symposium - Registration

Seminar

Contact Information

Office Address

Phone Number(s) & Email