Contact us about Hosting!

First Name:

Last Name:
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Email:
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Clinic/Hospital or Employer:
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City and State
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How many participants can you accommodate? (2 per treatment table)
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How many clinicians could attend a course at your site? We require one treatment table for every two course attendees.

How many clinicians are already interested in attending?
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Tell us about your site and what you'd like to host:
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