Standard Nutritional Seminars

CEU Seminar Registrations

(Please fill out registration form and choose payment option below)

Registration Form (Required)


Seminar Registration Form
Name of Person(s) Attending Seminar, separate each name with a semi-colon and add any creditionals after the name (ex., John Doe, DC; Jane Smith, CA)
Type of Professional
Clinic/Business Name
Mailing Address (Street, City, State, Zip)
Mailing Address Type: Business Home
Seminar Date
Best Phone Number to Contact:
Phone Type: Business Home Mobile
Email Address:
Name & Billing Address of Person Paying for the Seminar If Different than Seminar Attendee:
Seminars including the 4 Mandatory Hours will be presented the last 4 hours on Sunday. Will you be staying for the 4 Mandatory Hours on Sunday afternoon? Yes, I will be staying for the full 16 hours No, I will NOT stay for the 4 Mandatory Hours
Cancellation Policy: 72 hour notice must be given in order to receive a refund. There are no refunds for cancellations within 72 hours of the seminar. I have read and agree with the cancellation policy
I understand that the information at these seminars is not intended to provide medical advice and nothing in it should be construed as a prescription for any disease or symptom. These seminars are for educational purposes only. Standard Process of North TX & Standard Nutritional Seminars disclaim any liability, loss, or risk incurred, directly or indirectly as a result of the use and application of the information provided during this course. If you are unwilling to be bound by this disclaimer, you should refrain from applying for this course. I understand and agree with this disclaimer

(Email addresses will be kept confidential and will never to given, shared, or sold to any

person, company or entity. It is solely for the use of communicating with you in

regards to information on this website and/or your registrations.)

SEMINAR PAYMENT OPTIONS

Visa, Mastercard, Amex, Discover or PayPal Accepted. No E-checks please!

Seminar Fees will increase one week prior to each seminar start date.

Please register early to get the best rates!

At-the-Door fees will increase by $50 for all seminars

SEMINAR FEES INCLUDE:

Breakfast each day, afternoon beverages and seminar manual

CANCELLATION POLICY:

72 Hour Cancellation Notice is Required for Refunds or Credit

Please Read These Important Notices:

*All prices are subject to change without prior notice, unless payment has already been made, in which case, they are guaranteed.*

*Only paid registrations can be guaranteed! If you register but do not send in payment and we are at full capacity, we cannot guarantee your seat at the seminar.*

* Standard Nutritional Seminars and Standard Process of North Texas reserves the right to adjust seminar locations, dates, time, speakers, content, etc. We will do our best to maintain the advertised schedule, however, circumstances can arise in the future that are beyond our control, and we cannot be held responsible for any expenses incurred by registrants for any such changes.

*No audio, video or tape recorders are allowed and no portion of the seminar may be reproduced in any manner without the written consent of Standard Nutritional Seminars or Standard Process of North Texas.

To Pay Online Choose from the Following Options:

1. Healthcare Professionals -16 hr Seminar Only Fee - (Please Add the $30 CEU Fee Below if you need the Continuing Education Units):

2. Add Fee for CEUs -For all Re-licensing purposes and all participants of the ACN Program

3. DC Students, Staff and Spouse (non-licensed, such as CA, Receptionist, Office Assistants):

4. To attend ONLY the 4 Mandatory Hours on Sunday from 1pm - 5pm

(Do not choose this option if you have chosen to pay the seminar and CEU fees above. This option is ONLY for those who want to attend the 4 Hours ONLY on Sunday and will not be attending the whole seminar):

5. I cannot attend the seminar but would like to receive the following seminar manual (available the Monday AFTER each seminar):

To Fax Payment or Mail a Check

Please download the following form and fax or mail to:

(checks must be mailed no later than the Friday of the week before the seminar)

CEU Seminar Registration Form.pdf (PDF — 153 KB)

Standard Nutritional Seminars

P.O. Box 40584

Fort Worth, TX 76140

Fax # (817) 563-6958

For More Information or to Register By Phone:

(817) 845-8325 or (817) 851-4049

For Questions Via Email:

admin@standardnutritionalseminars.com

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