Klinghardt Seminars for 2015 Klinghardt Academy c/o Discovery Health Solutions, LLC. Tel (908) 899-1650 2 Orchard Way, Warren, NJ 07059 www.klinghardtacademy.com If paying by credit card fax order form to: (908) 542-0961 - or - Call Debbie at (908) 899-1650 If paying by check please make check payable to “Discovery Health Solutions” and send to: Debbie Floyd, 2 Orchard Way, Warren NJ 07059 Check # Recept Sent CC Processed Date: Name: Phone: Email: Address: City, State, Zip: Credit Card Type (circle): VISA MasterCard Discover JCB Credit Card Number: Credit Card Exp: Name on Card: 3-Digit Code (back of card) : Signature: Please Circle Conference Option Pricing * ART Level 3, March 6-8. Kenmore, WA $795 ART Level 3, Pre Seminar workshop: ART I & II review March 6 (9-12) Kenmore, WA $150 Healing the Brain, May 1-3, Warren, NJ $795 Healing the Brain - Pre seminar: Intro to AR Testing, May 1 (9-12) , Warren, NJ $150 Injection Techniques, June 26-28, Kenmore, WA $845 Injection Techniques - Pre Seminar: Injections for AR Testing, June 26 (9-12) , Kenmore, WA $150 Whidbey Island Retreat, September 16-21, Clinton WA (Retreat, food, and housing included) $2,700 Applied Psycho Neurobiology (APN), December 4-6, Redmond WA $795 APN Pre seminar: APN Strategies with ART (9-12), December 4, Redmond WA $150 CME Credits - Westbrook University $45 DVD Pre Order available - specify event here:____________________________ $350 * Discounts of $50 p/p apply for 2 or more registering on the same Credit Card 30 days prior to the worshop date only Does not apply to Pre Seminar Workshops You will receive an email receipt once your order is processed $100 Cancellation fee if you cancel at least 30 days before the event. Cancellations ARE NOT refundable within 30 days of event Shipping cost and a $5.00 handling fee will be added to all DVD orders. Orders will be mailed USPS, second day air Please indicate if you require an alternate method of shipping. Registration Klinghardt Events.xls Fax Completed form to: (908) 542-0961 Bookmark: Klinghardt 15