|
|
 |
|
|
Upcoming Courses (REGISTER, FORM BELOW)
Registration Price is now $349.00 (U.S.) for Rhode Island course. Early Bird pricing
is in effect until Feb 15th, 2009
|
 |
|
Payment for Course
Registration (single course)
Accepted payment include: Cash, Cheque or Money Order, Visa, M/C, Discover or
American Express
Two Registration Options
| 1) |
Early Bird Registration $349.00 US before Feb 15th, 2010 |
$349.00 |
| 2) |
$399 Registration after Feb 16th, 2010 |
$399.00 |
|
Please fill out form below for each participant,
PRINT, and include with your check/money order. * US FUNDS ONLY
Mail Payment to:
Healy Physical Therapy
927 B Warren Ave
East Providence, Rhode Island, 02914
Endorse Payment to:
"Healy Physical Therapy”
|
|
|
Questions? Use this email form or call:
email: info@401getwell.com or info@asabove.ca
Phone: (401) Get-Well (401-438-9355)
Fax: (401) 438-0903
|
| COURSE NAME: |
|
| First: |
|
| Last: |
|
| Street Add 1: |
|
| Street Add 2: |
|
| City: |
|
| State/Province: |
|
| Postal Code: |
|
| Phone #1: |
|
| Phone #2: |
|
| Email: |
|
| Professional Degree: |
|
| Attendance: |
|
| Comments: |
|
|
|
|
|
|
|
|