When

Saturday, September 9, 2023 at 8:00 AM EDT
-to-
Sunday, September 10, 2023 at 12:00 PM EDT

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Where

Hilton Fort Wayne - Grand Wayne Conv 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 IV Thoracic Spine Certification - Fort Wayne, IN - Sept 9-10, 2023 - REGISTRATION FORM

Cox® Part IV Thoracic Spine Seminar in Fort Wayne, IN, 14 CE hrs. PLEASE ENTER YOUR PERSONAL INFORMATION AND THEN SCROLL DOWN TO SELECT YOUR FEE OPTION, STATE LICENSE INFO, AND EXTRA FEE OPTIONS.

* 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, August 26, 2023
    $700.00
    • $695.00 after Saturday, August 26, 2023
    $595.00
    • $625.00 after Saturday, August 26, 2023
    $525.00
    • $450.00 after Saturday, August 26, 2023
    $350.00

License Information for CE

  • CE CREDITS: CE is applied for via National University of Health Sciences for these states: 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, we would have to file for CE at least the # of days required OR MORE 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.

  • These states require SPECIAL NOTIFICATION - $20 each: AK, FL, ME, MN, NC, ND, NH, NH, 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

Exam Fee

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

1 $75.00 each

Extra States to Apply for CE

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

50 $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.

50 $20.00 each

Lunch on Saturday

This is included for all registrants.

1 Free

Printed NOTES (Optional)

Spiral bound (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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