Welcome to the Supply Center

 

2012 Registration for Seminars & Workshops

CLICK HERE TO BE ADDED TO OUR SEMINAR MAILING LIST

FAX:

(818) 710 - 6855

CALL:

(800) 549 - 5993

MAIL:

The Supply Center
21301 Vanowen Street, Suite D
Canoga Park, CA 91303
   

Registration Information (print this page for fax and mail registration):

Name:  ________________________________                             

Address:  _________________________________________________

City:  ________________________     State:  _____     Zip:  _________ 

Tel:  (____) __________     Fax:  (____) __________                              

E-mail:  ________________________

Charge My:  Visa / MC / Disc / Amex #  __________________________

Exp Date:  _____________

Check enclosed, payable to:  The Supply Center

I acknowledge and agree that The Supply Center and the respective locations in which the seminars are held assume no liability or responsibility for any damage or loss that might be incurred by me.

Signature (required):  ____________________________________

DIRECTIONS: 
(1) Print this form.
(2) Check the seminar date & location you want to attend.  
(3) Mail or fax completed form with your check or payment information.

CERVICAL SPINE

October 1 & 2, 2011 8:00AM - 5:00PM -- SAN JOSE
    $200.00


UPPER EXTREMITY

November 5 & 6, 2011 8:00AM - 5:00PM -- SAN JOSE
    $200.00


LUMBAR SPINE

February 25 & 26, 2012 8:00AM - 5:00PM -- SAN JOSE
    $200.00


LOWER EXTREMITY

March 24 & 25, 2012 8:00AM - 5:00PM -- SAN JOSE
    $200.00


TMJ REVIEW

April 28 & 29, 2012 8:00AM - 5:00PM -- SAN JOSE
    $200.00



Refund Policy:
Cancellation and requests for refunds must be submitted in writing. Four (4) weeks or greater prior to seminar receive 50% refund. Less than four (4) weeks prior to the seminars NO refund. Registration less than 7 days prior to the seminar date is an additional $50 fee which is NOT included in the merchandise voucher total.

©The Supply Center / KM Enterprises
TERMS & POLICIES