2016 chiro texpo attendee registration...

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Attendee Registration June 6-30, 2020 - Online/Live Webinars 1122 Colorado St., Suite 307, Austin, TX 78701 P: 512-477-9292 F: 512-477-9296 Email: info@chirotexas.org www.chirotexas.org/chirotexpo Registrant’s Name ____________________________________________License#_______________ Mailing Address ____________________________________________________________________ City ___________________________________________ State ____________ Zip ______________ Phone ____________________________ Email ___________________________________________ Earn a maximum of 16 CE hours for your Texas license, including TBCE, Medicare, and Acupuncture hours. Registration includes access to the Chiro Texpo '20 app, sessions, materials and exclusive content. NOTE: Up to 10 CE hours will be accepted for on-demand recordings. TBCE and Medicare Hours must be taken as part of a live webinar. $175 $225 $125 $150 $75 $75 Member DC - Full Reg. Non-Member DC - Full Reg. Member-New DC (1-3 Yrs. of Licensure)/ Associate Educator Non-Member New DC (1-3 Yrs. of Licensure) - Full Reg. Chiropractic Student Elite/Premium Member TBCE Required hours ONLY (Live Webinar, June 13) Registration Type Check enclosed. Send payment to: 1122 Colorado St., Suite 307 Austin, TX 78701 FREE June 6-30, 2020 June 6: Medicare, Live Webinar (8 CE) June 7-30: Online/On-Demand courses available June 12-13: Live Webinars June 13: TBCE Required Hours (4 CE) Up to 10 CE hours will be accepted for on-demand recordings. TBCE and Medicare Hours must be taken during live webinar. **NOTE: All cancellations may be subject to a cancellation fee. Please refer to the TCA Chiro Texpo '20 Refund Policy and Terms and Conditions for a refund and fee schedule. Acupuncture hours ONLY (On-Demand) $25 Regular (Through June 30) $250 $300 $200 $225 $75 $100 FREE $150 $50 Early (by May 10) Retired/Life Member Medicare Required hours ONLY (Live Webinar, June 6) $100 $75 $100 CA/Staff Training (On-Demand, and Live Webinar) $100 $50 Total Payment Due $_____________________ CC#________________________________________ Exp________ CVV: ______ Name on Card ________________________________

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Page 1: 2016 Chiro Texpo Attendee Registration Formchirotexas.org/storage/app/media/ChiroTexpo/2020/chiro-texpo-20-new-attendee...Earn a maximum of 16 CE hours for your Texas license, including

Attendee Registration June 6-30, 2020 - Online/Live Webinars

1122 Colorado St., Suite 307, Austin, TX 78701 P: 512-477-9292 F: 512-477-9296

Email: [email protected] www.chirotexas.org/chirotexpo

Registrant’s Name ____________________________________________License#_______________

Mailing Address ____________________________________________________________________

City ___________________________________________ State ____________ Zip ______________

Phone ____________________________ Email ___________________________________________Earn a maximum of 16 CE hours for your Texas license, including TBCE, Medicare, and Acupuncture hours.

Registration includes access to the Chiro Texpo '20 app, sessions, materials and exclusive content. NOTE: Up to 10 CE hours will be accepted for on-demand recordings. TBCE and Medicare Hours must be taken as part of a live webinar.

$175

$225

$125

$150

$75

$75

Member DC - Full Reg.

Non-Member DC - Full Reg.

Member-New DC (1-3 Yrs. of Licensure)/Associate Educator

Non-Member New DC (1-3 Yrs. of Licensure) - Full Reg.

Chiropractic Student

Elite/Premium Member

TBCE Required hours ONLY (Live Webinar, June 13)

Registration Type

Check enclosed. Send payment to: 1122 Colorado St., Suite 307 Austin, TX 78701

FREE

June 6-30, 2020June 6: Medicare, Live Webinar (8 CE)June 7-30: Online/On-Demand courses available June 12-13: Live WebinarsJune 13: TBCE Required Hours (4 CE)

Up to 10 CE hours will be accepted for on-demand recordings. TBCE and Medicare Hours must be taken during live webinar.

**NOTE: All cancellations may be subject to a cancellation fee. Please refer to the TCA Chiro Texpo '20 Refund Policy and Terms and Conditions for a refund and fee schedule.

Acupuncture hours ONLY (On-Demand)

$25

Regular(Through June 30)

$250$300

$200

$225

$75

$100 FREE

$150

$50

Early(by May 10)

Retired/Life Member

Medicare Required hours ONLY (Live Webinar, June 6) $100 $75 $100

CA/Staff Training (On-Demand, and Live Webinar) $100

$50

Total Payment Due $_____________________

CC#________________________________________

Exp________ CVV: ______

Name on Card ________________________________

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