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Register for the seminars by mail

Print out this form and send to:
Integrated Medicine Seminars, LLC
PO Box 30415, Edmond, OK 73003-0007
(To register by phone, call 405-625-7667)
You can fill in the information below before printing this out
First Name:
Last Name:
Degree: MD    DO   DC   ND   LAc   PT/OT
              Other

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Please register me for the following seminar:
Seminar Dates
Auricular Therapy
Auricular Medicine
Homeopathy for Acupuncture
Saturday Macular Degeneration, Glaucoma, Xerostomia, and Sjogren's Syndrome Seminar
Sunday 3-Phase Hand Acupuncture Seminar
Weekend Macular Degeneration, Glaucoma, Xerostomia, and Sjogren's Syndrome AND 3-Phase Hand Acupuncture Seminars
Vascular Autonomic Signal
Prolotherapy and Neural Therapy
Please include your check for $500,
or for other special seminars:
$585 for Homeopathy for Acupuncture and Other Health Care Professionals, Vascular Autonomic Signal
or Prolotherapy and Neural Therapy
$300 for Macular Degeneration, Glaucoma, Xerostomia, and Sjogren's Syndrome
$200 for 3-Phase Hand Acupuncture
$450 for both Macular Degeneration, Glaucoma, Xerostomia, and Sjogren's Syndrome
AND 3-Phase Hand Acupuncture Seminars)
per person per seminar
made out to Integrated Medicine Seminars, LLC.
Cancellation Policy: $50 administrative for foar any cancellation received 30 or more calendar days prior to seminar. No refund for cancellation within 30 days prior to seminar.
       
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