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BASIC CERTIFICATION
100 Hour
ADVANCED CERTIFICATION
200 Hour
DIPLOMATE CERTIFICATION
300 Hour
REGISTRATION
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Basic Certification 100 Hour
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Class Registration
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Basic 100, Advanced 200, and Diplomate 300
Check boxes of all Modules you plan to attend:
Module 1
March 9-11, 2012
Module 2
April 20-22, 2012
Module 3
May 11-13, 2012
Module 4
June 29, July 1st 2012
Course you will be attending:
Basic 100
Advanced 200
Diplomate 300
Length of the course:
12 1/2 Hours
25 Hours
License Renewal
Your occupation:
Doctor
Therapist
Nurse
Masseuse
Student (in School 1st Degree)
Chiropractic Assistant
Other
If you are a doctor, please indentify what type of doctor:
DC
MD
DO
DDS
DVM
Course Fees
Select the corresponding course fee:
25 Hour Course
Member State Association
$400
Non-Member State Association
$425
Member Pinnacle
$400
Non-Member Pinnacle
$425
Doctors Assistant
$225
FASA Fellow
$375
Student in School (1st Degree)
ID Required
$225
12 1/2 Hours, Tuition & License Renewal
Member State Association
$200
Non-Member State Association
$225
Member Pinnacle
$200
Non-Member Pinnacle
$225
FASA Fellow
$200
Student in School (1st Degree)
ID Required
$225
Doctor License Number.
ID required if you are a student.
Course Materials
Check boxes of materials you want to purchase. Please bring a workbook to class.
Basic 100 Hour Course
Chinese Acupuncture & Moxibustion
$65
Classroom Workbook
$60
Workshop Kit
$50
Advanced 200 Hour Course
Acupuncture, A Comprehensive Text
$65
Classroom Workbook
$60
Workshop Kit
$50
Diplomate 300 Hour Course
A Manual of Acupuncture
$150
Classroom Workbook
$60
Workshop Kit
$50
Optional Materials
Prescription Index (2,000 formulae) Dr. Ralph A. Dale
$99.95
Shipping is $7.00 per shipment.
Missouri Residents, add tax of 7.75%.
Payment
Pre-payment of tuition (100 Hrs) includes Classroom Workbook - $60.
Choose Pre-payment or Pay-as-you-go:
Pre-payment
Payment per Module
Select a payment method and we will contact you to collect payment:
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Basic Certification
100 Hour
Module 1
Module 2
Module 3
Module 4
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