Master Series Registration

Master Series Registration Form

Namewhat name would you like on your badge?Street AddressApartment/ suite/ unit #City and StateZipcodeCell Phonework phoneemaildo you have any dietary Allergies?Would you like us to tag you on social media? What is your clinical specialty?NPI #How did you hear about this event?

I am Registering for...

(sold out) Master Series, Dr. Fouad Khoury, January 17-18, 2025 | fee $5,500 | deposit $2,500master series, Dr. roberto rossi, june 6-7, 2025 | fee $5,500 | deposit $2,500 master series, dr. alessandro pozzi, september 26-27, 2025 | fee $5,500 | Deposit $2,500

Consent Agreement...

I confirm to have read and agree to the photo release notice.I confirm to have read and agree to the Terms and Conditions.

Our office will contact you to confirm your registration and process your deposit.

Thank you! Your submission has been received!

Oops! Something went wrong while submitting the form.

Registration

Course Fee: $5,500 per courseThere is a $500 dollar discount per course when registering for 2 or more Master Courses.Our office will contact you to confirmyour registration and process your deposit.