thepowerzone.net --- h o m e

THE POWER ZONE™

Here are the rates for each Seminar. Please use these to calculate your total charges on the form that follows:

PRE-REGISTRATION The following Prices are good until 7 days Prior to the event.*

1 Primary D.C………………………………………………………………$249
1 Primary D.C. and Office Team………………………………………………$349 (Includes 1 DC, office staff (non DC student), and non DC spouse)
1 Additional D.C…………………………………………………………….$199 (Attending with primary DC of the same office)
Student (Must show valid ID)…………………………………………………...$50
1 Team Member (Attending without DC)…………………………………...$249
2 or More Team Menbers (Attending without DC)…………………………$349

DATED REGISTRATION The following prices are good for registration within 6 days prior to and up to the day of the event.*

1 Primary D.C………………………………………………………………..$349
1 Primary D.C. and Office Team………………………………………………$449 (Includes 1 DC, office staff (non DC student), and non DC spouse)
1 Additional D.C……………………………………………………………….$249 (Attending with primary DC of the same office)
Student (Must show valid ID)…………………………………………………...$60
1 Team Member (Attending without DC)…………………………………...$349
2 or More Team Menbers (Attending without DC)…………………………$449

Select Program Date:	or
1st Doctor's Name:
2nd Doctor's Name:
Student's Name:
Office Name:
Address:
State:
Zip:
Business Telephone:
Home (Emergency) Telephone:
Fax:
Email:
Number of CA's Attending:
CA's Names:
Number of Associate Doctors Attending (same Office):
Names of Associate Doctors Attending:
Total Charges:
To pay by Credit Card, please call or fax to:	Tel:1 (800) 569-7858 Fax: (972) 678-2335
Pay by Cheque?:	Yes
*Note these terms*:	* No refunds or exchanges are permitted. A $75.00 processing fee will be charged for any cancellations. Rescheduled programs must be attended within twelve months of the originally purchased program date. All fees paid for the original program minus a $75.00 processing fee will be applied towards the substituted program's complete cost.

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