Doctor's Name*
Office Phone*
Guest Name 1
Guest Name 2
Credit Card #*
Credit Card Type* 
Exp*
Exp*ONLY $1,597 2 Equal Payments of $873 3 Equal Payments of $599
2 Equal Payments of $873 3 Equal Payments of $599Location & travel information will be forwarded to you upon receipt of registration.
QUESTIONS? CALL: (866) 956-2513
TO VISIT THE SCHEDULING INSTITUTE’S OFFICIAL WEBSITE, CLICK HERE.
An additional $597 per registered guest will be added into the total tuition.
REGISTER NOW!
CALL (866) 956-2513, OR COMPLETE THIS ONLINE FORM...
All tuition is non-refundable within 90 days of scheduled event.
