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Registration

Seminar name & date(s) KST Seminar in the Sun (2/24/2024-3/2/2024)
Fee $499.00
  Check which CE credits you'd like
Arizona Lic #        $60.00      14 NaN
California Lic #        $100.00      8 PENDING
Colorado Lic #        $60.00      14 NaN
Connecticut Lic #        $60.00      14 NaN
Delaware Lic #        $60.00      14 NaN
Florida Lic #        $60.00      14 PENDING
Georgia Lic #        $60.00      14 PENDING
Hawaii Lic #        $60.00      14 PENDING
Idaho Lic #        $60.00      14 NaN
Illinois Lic #        $60.00      14 NaN
Indiana Lic #        $60.00      14 NaN
Iowa Lic #        $60.00      14 NaN
Kansas Lic #        $60.00      14 NaN
Maryland Lic #        $60.00      14 NaN
Massachusetts Lic #        $60.00      14 NaN
Michigan Lic #        $60.00      14 NaN
Minnesota Lic #        $60.00      14 PENDING
Mississippi Lic #        $60.00      14 NaN
Missouri Lic #        $60.00      14 PENDING
Montana Lic #        $60.00      14 NaN
Nebraska Lic #        $60.00      14 NaN
Nevada Lic #        $60.00      14 NaN
New Hampshire Lic #        $60.00      14 NaN
New Jersey Lic #        $60.00      14 NaN
New York Lic #        $60.00      14 PENDING
North Carolina Lic #        $60.00      14 PENDING
North Dakota Lic #        $60.00      14 PENDING
Ohio Lic #        $60.00      14 NaN
Oregon Lic #        $60.00      14 NaN
Pennsylvania Lic #        $60.00      14 PENDING
Rhode Island Lic #        $60.00      14 NaN
South Carolina Lic #        $60.00      14 NaN
Texas Lic #        $60.00      14 PENDING
Utah Lic #        $60.00      14 NaN
Vermont Lic #        $60.00      14 NaN
Virginia Lic #        $60.00      14 NaN
Washington Lic #        $60.00      14 NaN
District of Columbia Lic #        $60.00      14 NaN
Wisconsin Lic #        $60.00      14 PENDING
Wyoming Lic #        $60.00      14 NaN
Alberta Lic #        $60.00      14 PENDING
British Columbia Lic #        $60.00      14 NaN
New Foundland Lic #        $60.00      14 NaN
Ontario Lic #        $60.00      14 NaN
Quebec Lic #        $60.00      14 NaN
  Username
  To qualify for a refresher price, you must already be a KST graduate.
  Prefix
* First name
* Last name
  Suffix
Office/Practice name
* Email address
* Office address
   
* City
* State / Province
  Zip / Postal code
* Country
* Office / Primary phone number
  Office Fax Number

This alternate information will be used for follow-up purposes only and will not be published.
  Alternate phone number
  Alternate email address
  Best time(s) to reach you

* Payment type
American Express
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  Card number
  Card expiration date
 

 


  If you are interested in purchasing an ArthroStim at the seminar, please indicate how many.

The current price for the KST US ArthroStim package is $1,349.00.
 


You will not be charged for them at this time. Your response is used to determine
how many will be available for purchase at the seminar.

 


  Comments/Questions
* How did you learn about KST?  


  What technique(s) do you currently use?



* What about KST interests you the most ?
 
  Are you interested in KST (in part) because of a personal health problem? Yes No     If yes, please explain:

 
* What about KST intrigues you the most?
 
  Are you currently a student?
 
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  What is your alma mater and year of graduation? Year

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