When

Saturday, July 15, 2023 at 8:00 AM EDT
-to-
Sunday, July 16, 2023 at 12:00 PM EDT
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Where

Hilton Fort Wayne - Grand Wayne Convention Ctr

1020 S Calhoun St
Fort Wayne, IN 46802

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Driving Directions

Contact

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

COX® Part III Cervical Certification - Fort Wayne, IN - July 15-16, 2023 - REGISTRATION FORM

Cox® Part III Cervical Certification Course in Fort Wayne, IN will be a total of 14 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
    • $800.00 after Saturday, July 1, 2023
    		 $700.00
    • $695.00 after Saturday, July 1, 2023
    		 $595.00
    • $625.00 after Saturday, July 1, 2023
    		 $525.00
    • $450.00 after Saturday, July 1, 2023
    		 $350.00

License Information for CE

  • CE CREDITS: CE is applied for via National University of Health Sciences for AK, AZ, CA, CO, CT, DE, FL, GA, HI, ID, IL, IN, IA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NY, NC, ND, OH, OR, PA, PR, RI, SC, SD, UT, VT, VA, WA, WI, WY. If you are seeking CE for other states, we would have to file for CE 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 $50 extra.

  • States that require NOTIFICATION of your attendance $20/each: AK, FL, ME, MN, NC, NH, ND, NV, SD, TX. Please provide your LICENSE INFORMATION below:

  • 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 Policy

  • All registrations are non-refundable. If you cannot attend the selected and registered on-site seminar, you may transfer your paid credit towards a future on-site seminar within a year of the initial payment date. YOU CAN NOT TRANSFER CREDIT TOWARDS WEBINARS, ONLINE COURSES, OR HANDS-ON WORKSHOPS. There is a $100 registration transfer fee plus any difference (if applicable) in tuition for the future course.

Extra Fees

Item Qty. Max Limit Price

Certification EXAM

To be Certified, you must attend Part III (14 hours) plus pass the Certification Examination. Choose this item if you want to be Certified in Cox Technic for Cervical Spine.

 1 $75.00 each

Extra States to Apply for CE

CE for 1 state is included. Each additional state is $50 extra.

 10 $50.00 each

Special NOTIFICATION State Fee

States that require NOTIFICATION of your attendance $20/each: AK, FL, ME, MN, NC, NH, ND, NV, SD, TX. Choose this item if your state is listed here.

 5 $20.00 each

Lunch - Saturday

This is included for all registrants.

 1 Free

PRINTED NOTES spiral bound (~450 pgs)

(Optional)

 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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