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PO BOX 3497
MISSION,TX 78573
956-222-2942
Fax: 956-205-2915
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If you Can't Breathe, You Can't Function:
Integrating Cardiopulmonary and Postural
Control Strategies in the Pediatric Population
(January 14-16 2010) Fee : $500.00
Treating the Neck as a Foundation for Oral
Motor Function, Sensory Motor Processing &
Motor Development
(Rescheduled to 2010) Fee : $200.00
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Personal Information
Billing Information
*First Name
 *Last Name
 Last Name
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*Street Address
 or Company Name
 *Street Address
*City
 *State
 *Zip Code
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 *Zip Code
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*Please Select the best
method that we may
use to contact you.
*Phone Number
 Expiration Date: 01/10 Example
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Please note: Discover is no longer accepted.
Discipline
Reminder: We offer 10% discount
for registration parties between 5
or more Participants
(Excludes Toilet Training January 23, 2009)
Company
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Please enter the name of the Participant that will be attending our Seminars, in
the first slot. If additional Participants will attend check the box below. Additional
participants will be charged accordantly
License #
*License #
*Participant 1 Name / Credentials
 Participant 4
Participant 5
Additional Participants will attend
Participant 2
Participant 3
We are now taking On-line registration for the Courses listed below. * Are required fields. Please
make sure all information is correct before submitting. The staff at RGV Seminars thank you for your
continued intrest in our Courses/Seminars
Secure On-Line Registration Form
We recommend
that you review
our Early
Registration
discounts and/or
late fees that may
apply. Also
Review our
Refund Policy to
avoid any
discrepancies.
Any or all
information will be
stated in each
courses' page
respectively.
Courses