REGISTRATION FORM for PRACTICE TEAMS (DCs & CAs)
PARKER SEMINARS ITALY 2010
JUNE 24-26 ROME, ITALY
Melia' Roma Aurelia Antica Hotel and Convention Center
Via degli Aldobrandeschi, 223 - 00163 ROMA
Tel:+39 06 66544 - Fax:+39 06 66544476 |
| Organization/Practice Team: | |
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P.O. Box: | |
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Postal Code: | |
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| Telephone (international): | |
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List team members attending Parker Seminar Rome 2010 (please use separate sheet if necessary):
* D.C. applicants for the Seminar must be graduates from CCE, ECCE or CCEI accredited Colleges. Non qualified
applicants will be charged a 15% administrative fee from eventual refunds. |
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Group Discounts for Team Practices (DCs and CAs)
A Team Practice of 4 or more persons, which includes the registration of at least two DCs, qualifies for a 5% discount. A team Practice of 8 or more persons, wich includes the registration of at least three DCs,
qualifies for a 10% discount.
PSI coupons are not applicable in Team registrations.
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| Registration fee includes Coffee Breaks, Friday and Saturday lunches for all delegates |
| LOGISTICS - The SEMINAR OPENING SESSION finishes at 8:00 PM on Thursday. The Tapas Dinner is a
natural follow-up! Instead, Friday's lectures finish at 5:30 PM which provides time for an evening in Rome. |
| Seminar fees: |
Paid by
May 8th 2010 |
Paid after
May 8th 2010 |
amount due |
Total Euro deducted
5% or 10% |
n.
Doctors of Chiropractic |
Euro 460,00 each |
Euro 550,00 each |
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Chiropractic Assistants |
Euro 249,00 each |
Euro 289,00 each |
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D.C. License renewal |
Euro 80,00 each |
Euro 80,00 each |
Team deductions not applicable.
Enter the amount due
into the box to the right |
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n.
Tapas Pool Party Dinner |
Euro 89,00 each |
Euro 89,00 each |
Team deductions not applicable.
Enter the amount due
into the box to the right |
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n.
Tapas Child 12 & under |
Euro 40,00 each |
Euro 40,00 each |
Team deductions not applicable.
Enter the amount due
into the box to the right |
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| TOTAL TO BE CHARGED: Euro |
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Special Diet Requirements within your Team:
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PAYMENT DETAILS:
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Cancellation Policy: refunds and/or transfers less a 25 percent administrative charge will be issued upon request if received before
May 20, 2010
There will be no refunds or transfers permitted after that time;
- Parker Seminars reserves the right to adjust program dates, times, speakers and/or locations:
- The total liability of Parker Seminars arising from or related to these courses is limited to a refund of the registration fee only:
- Parker College of Chiropractic will not complete vouchers for continuing education credit until seminar tuition is paid in full:
- The opinions and statements made by the speakers do not necessarily reflect the opinions of the Parker Seminars.
Privacy Policy:
The personal data sent by the participants directly or indirectly to Associazione Italiana Chiropratici is protected by the
Italian Legislative Decree no.196 of 30 June 2003, "Personal Data Protection Code" which protects persons and other
subjects with regard to the handling and processing of personal data and, therefore, will be used for administrative,
accounting, commercial and promotional purposes. The holder and handler of personal data processing are:
- Associazione Italiana Chiropratici with head office in Via Brigata Liguria, 1/20 Genova;
- Parker Seminars with head office at Parker College of Chiropractic 2500 Walnut Hill Lane, Ste. S-209 Dallas, TX 75229
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HOTEL ACCOMMODATIONS:
REMEMBER TO BOOK YOUR HOTEL !
In order to make your Parker Seminars Italy a hassle-free full emersion experience, we highly
recommend that you book your room within the Convention Site at one of the two hotels that we
have secured.
Please complete separate "HOTEL BOOKING FORM"
And fax or email the document directly to the hotel
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