Torque Release Technique - Dr. Jay M. Holder - Chiropractic Care, Supplies, Etc.

CONTINUING EDUCATION BY LIFE UNIVERSITY*
I Have Read & Acknowledged Disclaimer You must pick one of the following:
$410	(At Door)
$375 $250	(Pre-Registered, 2 Weeks Advance (TRT CLASS) TRT 1 Day Workshop (REFRESHERS ONLY)
$200	Students (Must be accompanied by documentation)
$275 $250	TRT Refresher/Faculty Auriculotherapy (At Door)
$225 $175	Pre-Registered, 2 weeks Advance Auriculotherapy ($50 discount if attending Torque Release Technique & Auriculotherapy)
Personal Information: YOU MUST DENOTE DATE & LOCATION
Name:	*Required
Address:	*Required
City:	*Required
State:	*Required
Zip:
Phone:	*Required
E-Mail:
Seminar	*Required
Date:	*Required
Location:	*Required

Billing Information

Card number

*Required3 digit code

Exp.

*Required

Name:	*Required
Address:	*Required
Suite / Apt #:	*Required
City:	*Required
State/Province:	*Required
Zip/postal code:	Required American Airlines 5% discount for all seminars. Call us for details or link for codes* acacd2/registration.htm
LICENSE RENEWAL APPLIED FOR IN APPLICABLE STATES Individual state re-licensure hour requirements may vary. Therefore, please check with your state board for approval verification. Cancellations and refunds: Tuition is not refundable if the program to which it applies is conducted as scheduled. if a scheduled seminar is cancelled before starting, the unused portion of tuition will be refunded. Cancellations must be made five (5) working days prior to the seminar for a full refund for non-attendance. If cancelled within five (5) days before the seminar, a $45 administration fee will be deducted from payment. HRI, Inc. reserves the right to cancel any seminar due to low registration.
Make checks payable to HRI, Inc. and mail to: HRI, Inc. P.O. Box 403054 Miami Beach, FL 33140 800-490-7714 - 305-535-8803