Toronto- (exact location to be finalized soon) Note: This series provides Ontario D.C.'s with 42 hours of structured continuing education Jan 22, 23 (2011) - Module I Feb 5,6 (2011) - Module II March 19,20 (2011) - Module III Kansas City - on the campus of Cleveland Chiropractic College Note: CE credits for Kansas, Missouri and neighboring states available. April 9,10 (2011) - Module I June 25,26 (2011) - Module II July 9,10 (2011) - Module III All registrations for the above series are to be made within this online registration form directly below the listed event(s).

Registration Form Thompson Seminar Series All fields marked with * are required to be entered. * Name: * Address: * City * State or Prov & Zip Code: * Phone #: Fax Phone #: * E-mail Address: Best time to call: * Choose Location: Toronto | Kansas City * Choose Payment Type: Visa Mastercard Cheque * I'm A: Student Doctor How did you find us?: Please Choose One E-mail Word of Mouth Newspaper Ad Bulletin Board Search Engine Site Flier Web Site Fax Chamber of Commerce Poster Brochure Store Front Trade Show Business Card Radio Station Bill Board Post Card TV Infomercial Moving Vehicle Magazine Clothing Other Please specify the NAME of that person, media type, or location: Any other comments: Cost for the seminar series ( Modules I, II and III): All classes begin at 9 a.m. on Saturday and 8 a.m. on Sunday Chiropractor: $1100.00 Students: $600.00 Note: Costs above include all three Modules, accompanying manuals, and the newly published textbook on the Thompson Technique. Participants may transfer to another site for a module provided the site to which they are transferring is not fully enrolled. Registration fees are not transferrable. **Registration is limited and is on a first come, first served basis. REFUND POLICY: In the event that you cannot attend a seminar that is prepaid, the fee for that seminar may be applied to another seminar within 24 months of the missed seminar. There are no refunds. Once you submit this form, you will be contacted by a representative to confirm your registration for the Toronto Seminar and to collect your payment information over the phone.