Seminar Registration Signup Form
**(Your email address will be used to electronically send your seminar course notes, 3 days prior to the seminar)**
Your credit card receipt will be faxed to your office. You are not registered until we receive payment in full. We will CALL your office for your Credit Card information and Confirm your PAID reservation at that time.
Chirohealth Educational Seminars
P.O. Box 85
Gates Mills, Ohio 44040-0085
Course Chairman: Alan L. Palgut, D.C.
Seminar information: 440-306-8666