_CPR: Chiropractic Practice Rescue Marketing Your Practice from the Inside Out Manayunk Brewery & Restaurant 4120 Main Street Philadelphia, PA 19127-1618 (215) 482 - 8220
April 12th 2012 9:00 AM to 4:00 PM
Pre-registration (by 4/5) $115.00 1st attendee, $95.00 each additional attendee PCA member discount (membership number must be given) 15% off total due Registration after 4/5 $145.00 (Given the content, this program will be limited to first come first serve registrants; we encourage you to register yourself and your staff early for this exciting day long program.) _____________________________________________________________________ REGISTRATION FORM Contact information: Practice: ______________________________ Address: ______________________________ ______________________________________ Phone:_______________Cell:_____________ E-mail:________________________________ Currently PCA member ( ) yes ( ) no PCA membership no. _________ Please register these names for the April 12th Seminar 1)_________________________________________________ 2)_________________________________________________ 3)_________________________________________________ 4)_________________________________________________ Payment by Check (enclosed) made out to: ChiroAbility, LLC If paying by Credit Card please go to www.chiroability.com and click “buy now” on payments page Fax this form if paying by credit card to 610-524-0653 or mail this form with your check to 50 W. Welsh Pool Road, 2nd Fl, Exton, PA 19340 TOTAL FEES:_______________________________________ Beverages, lite breakfast and full lunch are included. Come get pumped ~ Leave get patients!