THIS IS NOT AN ONLINE REGISTRATION FORM - FOR PRINT ONLY            Printed Date: 3/28/2024 3:29:00 PM

Seminar Title:
2-Day: Kinesiology Taping Practitioner Certification AND IASTM Practitioner Certification
Seminar Date:
Thursday, March 5, 2020
Seminar Location:
FAIRFAX, VA 22033
Seminar ID:
77290

  Required (select one)
 
$279.99 – Single Registration: Day 1
$279.99– Single Registration: Day 2
$499.98 – Single Registration: Both Days
$60.00 – Coordinator (both days)
  ________ HI, NM attendees add applicable sales and local taxes**
  ________ Subtotal (Required items + sales tax)
 
  Optional
 
$350.00 RockBlades 2.0: Complete Soft Tissue IASTM System
$175.00 RockBlades Mohawk
$18.00 RockTape Rx: Gentle Tape for Special Populations, 2” x 16.4’
$40.00 Precut Edema Strips - Beige
$49.00 RockPods Cupping Set
$18.00 RockTape (beige, 2” x 16.4’)
$40.00 RockTape (beige, 4” x 16.4’)
  ________ AL, AR, AZ, CA, CO, CT, DC, FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, NC, ND, NE, NJ,
NM, NV, NY, OH, OK, PA, RI, SC, SD, TN, TX, UT, VA, VT, WA, WI, WV, WY attendees add applicable sales and local taxes**
  ________ Subtotal (Magazines + Optional items + sales tax)
   
  ________ Total (Required subtotal + Optional subtotal)
  ** Tax-exempt customers please send a copy of your tax-exempt certificate.
  *** Registration for coordinator or military member discount must be completed online
  **** All prices are shown in US Dollars ****
 
 

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PESI, P.O. Box 1000, Eau Claire, WI 54702-1000      (800) 554-9775 (fax number)