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Integrated Health Care Systems, Inc.
* Enrollment Is
Limited – REGISTER NOW *
* Early
Registration Suggested to Receive Discounts and Reserve Your Space in
the Courses
* Payment Plans Available *
Additional Registration Contact Information: For Seminars,
Courses or Retreats: Phone 727-867-2666 Ext 1#; Fax:
727-867-8580; Email: SSBegley@aol.com; Mail: c/o Integrated Health
Care Systems, PO Box 67153, St Petersburg, FL 33736
*Please Note Differences in
Registration Information for Various Seminars/Courses & Retreats*
__________________________________________________________
General Seminar/Course Registration
Information:
Select the Appropriate Course Registration Form:
Basic Therapeutic Touch Course =1
IHCS Retreats = 2
GENERAL INFORMATION
Early Registration: An
Early Registration Fee is offered if payment is postmarked one month
prior to the course. For details, please see each specific course or
retreat (1,2, or 3) and Registration Forms below.
Payment Plan: Send a
minimum deposit of $100 to reserve a space in the
class. Contact IHCS to arrange a Payment Plan that works for you. A
signed letter outlining the dates your payments will be made must
accompany your deposit. If only one additional payment will be made,
please give date and sign this form. Balance will be paid on
___________, as prearranged with IHCS.
Please Note: If you are unable to make payments on
time, it is your responsibility to contact IHCS for
revision of your Payment Plan in advance of payment due date.
Cancellation Policy:
Cancellations must be received in writing and postmarked 2 weeks
before course start date to receive registration refund minus a 15%
processing fee. After this date, registration may be transferred to
another course within the same calendar year with an additional 15%
transfer fee added to the original registration fee.
Program Changes: IHCS
reserves the right to make program changes as necessary, and the right
to cancel a program if minimum enrollment has not been reached or
events occur beyond reasonable control.
Course Registration Fee.
This Registration Fee includes CE's for one discipline only,
i.e. RN or LMT or LCSW, etc. If multiple CE's are
desired, add $35 per additional discipline.
1. BASIC THERAPEUTIC TOUCH SEMINAR
FORM HAS 2 PARTS: A & B
Please complete all information
Part A
Please select all that is applicable:
_____ $295 Early Registration Fee (To be postmarked one month prior
to the course)
_____ $325 Full Registration Fee
Group Discounts for 3 or more registering together = $10 off
registration fee.
_____ $100 Payment Plan Deposit (Please include signed letter
including future payment dates.)
If Additional CE credits are desired, add an additional $35 for
each discipline, i.e. RN, LMT, LCSW
_____ Additional CE Fees (Add $35 for each additional CE credits per
discipline,
i.e. RN and LMT and LCSW, etc.) Discipline(s)___________________________
_____ Total
Registration Fee enclosed.
PLEASE ALSO COMPLETE LOWER PORTION OF FORM WITH YOUR NAME
ADDRESS, EMAIL AND PHONE NUMBERS AND SEND TO THE ADDRESS BELOW
GO TO PART B
2.
Retreat Registration
FORM HAS 2 PARTS A & B
Please complete all information
Part A
Retreat Fees, Cancellation Policies and Payment Plans are different
than Seminar/Course Registration Fees. Please Call for More
Complete Information Related to the Retreats.
We will be happy to provide additional information to you and
explain all details that relate to the various Retreats.
Please Note: Due to the need to make long range plans for retreats
to secure lodging, reserve ground and air transportation, schedule
adjunct faculty and events, and the need for minimum numbers of
participants to make the retreats possible, retreat deposits are
nonrefundable.
Cancellation Policy: IHCS reserves the right to cancel
retreats if minimum enrollments are not met. If retreat is cancelled
by IHCS, all registration fees will be refunded. If a cancellation is
made by the participant, deposit and payments will be applied to the
next IHCS retreat. Any increases in future retreat fees will be
applicable.
For more information, please call IHCS at 727-867-2666
Ext 1#.
GO TO PART B
_________________________________________________________
PART B
Please make checks payable to Integrated Healthcare
Systems, Inc. and mail to:
Integrated Health Care Systems, PO
Box 67153, St. Petersburg, FL. 33736. (Continued)
Name_________________________________________________________________
Signature______________________________________________________________
Name of Course or
Retreat________________________________________________
License
Numbers_______________________________________________________
Address, City,
Zip_______________________________________________________
Phone Day and
Evening__________________________________________________
Email
Address_________________________________________________________
Before mailing Registration Form, please complete all information,
sign and send all pages.
An incomplete Registration Form does not guarantee your reserved
space in seminars, courses or retreats and will be returned for
completion.
Please Note: IHCS Seminars, Courses and Retreats are designed for
Small Groups, therefore Space is Limited!
For more
information, please call IHCS at 727-867-2666 Ext 1# - or-
Email us at
SSBegley@aol.com
Thank you!! |