When

Thursday, November 5, 2020 at 9:00 AM EST
-to-
Sunday, November 8, 2020 at 11:00 AM EST

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Where

Hilton Fort Wayne - Grand Wayne Convention Ctr

1020 S Calhoun St
Fort Wayne, IN 46802

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Contact

JULIE COX-CID
F/D Enterprise LLC
260-637-6609
coxchiro@frontier.com

COX® Parts I and II Lumbar Certification - Fort Wayne IN - November 5-8, 2020 - REGISTRATION FORM

Cox® Part I & II Lumbar Certification Course in Fort Wayne, IN will be a total of 30 CE hrs - plus EXAM offered. PLEASE ENTER YOUR PERSONAL INFORMATION AND THEN SCROLL DOWN TO SELECT YOUR FEE OPTION, STATE LICENSE INFO, AND EXTRA FEE OPTIONS. TO BE CERTIFIED YOU MUST TAKE THE EXAM - $75.

* Required information

Personal Information

  • If you are a DC, please list your office address. The email that you enter is where your course notes and other correspondence will be sent.

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  • Fee

    Type Fee
    • $1,550.00 after Thursday, October 22, 2020
    $1,500.00
    • $900.00 after Thursday, October 22, 2020
    $850.00
    • $725.00 after Thursday, October 22, 2020
    $675.00
    • $1,325.00 after Thursday, October 22, 2020
    $1,275.00
    • $772.50 after Thursday, October 22, 2020
    $722.50
    • $623.75 after Thursday, October 22, 2020
    $573.75
    • $623.75 after Thursday, October 22, 2020
    $573.75
    • $1,175.00 after Thursday, October 22, 2020
    $1,125.00
    • $687.50 after Thursday, October 22, 2020
    $637.50
    • $556.25 after Thursday, October 22, 2020
    $506.25
    • $800.00 after Thursday, October 22, 2020
    $750.00
    • $475.00 after Thursday, October 22, 2020
    $425.00
    • $387.50 after Thursday, October 22, 2020
    $337.50

License Information for CE

  • CE CREDITS: CE is applied for via National University of Health Sciences for all US states except: AL (30 days), AR (60 days), HI (45 days), NM (90 days), OK (90 days), TN, TX (60 days), WV (45 days). If you are seeking CE for these states, we would have to file for CE at least the # of days in advance. Or you may contact your State Board directly to see if they would accept an Attendance Verification after attending the course. There may be an extra fee associated with CE filing for these states.

  • One (1) STATE CE is included with your registration. Each additional state is $25 extra.

  • These states require DIRECT NOTIFICATION - $5 each: AB (Alberta), AL, DE, FL, KY, MS, NC, ND, NV, SD, TX, WV, PR (Puerto Rico). Please provide your LICENSE INFORMATION below:

  • Important: Every attempt is made to offer this program as publicized. However, F/D Enterprise, LLC, and/or the NUHS Postgraduate Division reserve the right to adjust program dates, locations, times, instructors, etc., to accommodate unexpected faculty or student needs and cancel due to insufficient enrollment. F/D Enterprise, LLC, and NUHS are not responsible for any expenses incurred by registrants due to program adjustments or cancellation. Registration Cancellation/Transfer Policy: All registrations are non-refundable. If you cannot attend the selected and registered course, you may transfer your paid credit toward a future course within a year of the initial payment date. There is a $50 registration transfer fee plus any difference (if applicable) in tuition for the future course.

Extra Fees - Exam, Extra State CE, Special State Fee

Item Qty. Max Limit Price

Certification EXAM

To be Certified, you must attend Part I (12 hours) and Part II (18 hours) or this complete 30 hours course plus pass the Certification Examination. Choose this item if you want to be Certified in Cox Technic.

1 $75.00 each

Extra States to Apply for CE

CE for 1 state is included. Each additional state is $25 extra.

10 $25.00 each

Special DIRECT NOTIFICATION State Fee

States that require DIRECT NOTIFICATION of your attendance are $5 each: AB (Alberta), AL, DE, FL, KY, MS, NC, ND, NV, SD, TX, WV, PR (Puerto Rico). Choose this item if your state is listed here.

5 $5.00 each

Lunch - Saturday

This is included for all registrants.

1 Free

PRINTED NOTES spiral bound (~450 pgs)

This is OPTIONAL as we send a link to all the notes (FREE) a week in advance for you to DOWNLOAD to a laptop/tablet to follow through the weekend or PRINT for yourself.

1 $75.00 each
$9,999.99

Payment

Payment Method

  • Please make check payable to:
    F/D Enterprise LLC
    429 E Dupont Road #98
    Fort Wayne, IN 46825

Payment Summary


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