JVB Enterprises Inc.

 Therapeutic Ultrasound & Electrical Stimulation w/Lab
Course Registration
Step 1 of 3

Please fill out this form so we have your registration information. When you submit the form you will be sent to our secure checkout page. Your registration is not complete until you finish all steps in the registration process.

Student Information:

NOTE: Fields in red are required fields
 Your privacy is important to us. Please refer to our privacy policy for more information

Name:
E-Mail Address:
Daytime Phone:
Evening Phone:
Street Address:
City:      
State:
Zip Code:
Discipline:
License Number:

Course Selections

Therapeutic Ultrasound & Electrical Stimulation w/Lab - Select date/location and corresponding charges
May 31 - June 1, 2008 Dallas, Texas
July 19-20, 2008 Chicago, Illinois
August 23-24, 2008 Philadelphia, Pennsylvania
September 13-14, 2008  Virginia Beach, Virginia
October 4-5, 2008 Pittsburgh, Pennsylvania
November 8-9, 2008 San Francisco, California
November 22-23, 2008 Fort Lauderdale, Florida
December 6-7, 2008 Tampa, Florida

Early Registration $325.00
Late Registration  $350.00 (Less than 7 days prior)

Group Registrations more than 7 days prior to the scheduled course
Group Early Registration $292.50 each for groups of 2 or more - List group attendee names below

  Add group attendee names here


 


 

Cancellation/Refund Policy:

Requests for refunds must be submitted in writing. Cancellations received at least 4 weeks prior to the seminar date are eligible for a refund minus a $20 administrative fee. There will be no refunds for cancellations less than 4 weeks before the course. Please copy this for your records.
 

Additional comments

 


replace with your keywords replace with your keywords replace with your keywords replace with your keywords replace with your keywords replace with your keywords replace with your keywords replace with your keywords