Registration Form

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Name _________________________________________________________________

Address________________________________________________________________

City ________________________ State _________ Zip Code___________________

Phone (      ) _______________ E-mail _____________________________________

Investment*: n $225 per session

n $200 per session if you invest in three or more sessions in advance

n Non-D.C.'s / students may audit for $50 per session

I will enroll in the following live courses:

Anatomy I
Technique Overview
Thesis Presentation

I choose distance learning for the following courses 

Neurology I
Neurology III
Anatomy I
Anatomy II
Biomechanics II and X-Ray Interpretation (combined course)

 Neurology II
Neurology III




Imaging
Research Methods
Vertical Subluxation Theories
Case Managment
History and Philosophy

 Contact Information

Contact Dean of Continuing
Education Ron Castellucci,
 D.C., at Sherman College
of Straight Chiropractic, 
P.O. Box 1452, Spartanburg,
SC 29304;

e-mail
rcastellucci@sherman.edu

call 800-849-8771 or
864-578-8770, ext. 1229;

or fax 864-599-4860

Fee Enclosed _____________________ or charge my:

    Visa        Mastercard        AmEx        Discover

Card #__________________________________ Expiration Date ________________

Signature ______________________________________________________________

*A $50 fee will apply to all cancellations.