ON-LINE SEMINAR REGISTRATION FORM

 
MULTIPLE DISCOUNT OPTIONS
Only one discount option can be applied per seminar.

EARLY REGISTRATION - You may subtract $20 from each program if your registration form and payment are recieved 30 days prior to the scheduled event. Discounts do not apply to reserved spots in program.

GROUP DISCOUNT - A 50% discount will apply to each seminar participant after two full paid registrations. Participants must be from the same company.

STUDENT DISCOUNT - A 25% discount will apply to any student registration. A photocopy of a valid student ID must accompany your registration form.

FREQUENT PARTICIPATION -- For each consecutive year that a company participates in an APTR seminar, a 10% discount will apply to registration fees. Discount cannot be transferred to any other company.

REFERRAL DISCOUNT - Any previous attendee of an APTR seminar who refers a full paid participant will receive a 10% coupon off any equipment purchase.The name and address of the referring individual must be coupons per purchase,please.

CANCELLATION POLICY
Registration must be made in advance. Tuition less a $75 service charge is refundable if written notice is received within one week prior to the programs start.No refunds will be made after this date. We reserve the right to cancel or change a program for due cause. Cancellation will result in a full refund of tuition.We are not responsible for the refund of travel or hotel expenses under any circumstances.
Location / Month*   
Seminar 1: Trunk / Saturday 8am-5pm  
Was $310 - Now $210 / Early Registration $190   
Seminar 2: Extremities / Sunday 8am-5pm  
Was $310 - Now $210 / Early Registration $190 
  
Both Seminars: Saturday & Sunday 8am-5pm  
Was $560 - Now $360 / Early Registration $340 
  
Referral Name   
Address (Referral Name)   
City / State / Zip (Referral Name)   
Date course was attended (Referral Name)   
Your Name (First / Last)*   
Address*   
City*   
State / Zip*   
Work Phone*   
Home Phone*   
Fax   
Professional Designation   
E-mail*   
Company Name   
Address   
City   
State / Zip   
Credit Card (Choose One)   
Visa MC Discovery

Credit Card Number*   

Expiration Date (MM / YYYY)*   
Amount of Charge*   
Checking here acts as signature*   
* Required Information
 
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