Workshop Registration

You may preregister for our workshops by filling out our secure online Workshops Registration Form. After you have completed the form, please make sure to press the Submit button at the bottom to automatically send us your information. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

Make your reservations soon as space is limited and the course always fills to capacity.

Register Now

Fill out the form below to immediately process your order.

Prices:

Doctor $2,895.00 USD
Staff $1,195.00 USD each

Online Payment Form

We have provided an online payment form for your convenience! You may submit payments securely to our office with or without an existing PayPal account! Please contact our office with any questions!

Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email
Number of doctors attending
Price: $2,895.00 Quantity:
Number of staff attending
Price: $1,195.00 Quantity:
Total
$0.00
You may submit payments to our office using this form with or without an existing PayPal account!
Please click the button below to continue to the next step.
Phone
This field is for validation purposes and should be left unchanged.