 |  | 
2010 Seminar Registration
.
. |
. |  | Please fill out ALL* fields.
. |
First Name:* |  |
|
Last Name:* |  |
|
Street Address:* |  |
|
Address (cont): |  |
|
City:* |  |
|
State/Province:* |  |
|
Zip Code:* |  |
|
Country:* |  |
|
Phone:* |  |
|
Email:* |  |
|
Re-Type Email:* |  |
. |
Profession:* |  |
Case Management
Manufacturer Representative
Nursing
Occupational Therapy
Physical Therapy
Physician
Provider/Dealer
. |
Company:* |  |
. |
How did you learn about the ROHO Seminars?* |  |
EBlast
Mailer
Sales Rep
Web
*Other
If Other - Please explain:
.
. |
Please select location:* |  |
(1) January 26-28 - Phoenix, AZ
(2) March 16-18 - Charlotte, NC
(3) May 4-6 - Tampa/St. Petersburg, FL
(4) July 20-22 - Seattle, WA
(5) September 14-16 - Boston, MA
(6) October 19-21 - Minneapolis/St. Paul, MN
Please realize the above locations are specific to a geographic region. The exact location of the program will be posted to our website at least one month prior to the presentation's date. |
 |  | .
.
Please select which seminar(s) you would like to attend. Registration is limited for each location. Availability is on a first come first served basis. The exact location of the presentation will be posted on our website (http://www.therohogroup.com/roho institute) at least one month prior to the starting date.
..
The following discounts will be applied at checkout:
Attend One Seminar: $75.00
Attend Two Seminars: $125.00
Attend Three Seminars: $175.00
. |
 |  | All Credit Card payments are processed through PayPal™.
Refund Policy: All cancellations must be in writing and postmarked or by dated email at least 14 days prior to the beginning of the seminar to receive a full refund. NO REFUNDS will be made after that date. The ROHO Institute reserves the right to cancel a seminar due to low attendance or unforeseen circumstances. In the event that a seminar is cancelled by the ROHO Institute, we will refund the full amount paid.
.
|