JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Seminar 2024-4 Registration Form
Seminar 2024-4: Chinese Scalp Acupuncture
Speaker:
Dr. Jishun (Jason) Hao
Date & Time:
August 24 & 25 [10AM-6PM](12 NCCAOM & CAB Points)
Location:
Room 410-5, NYCTCM Mineola Campus
Address
:
200 Old Country Rd, Suite 410, Mineola, NY 11501
Please complete all applicable items.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Attendee's Last Name
*
Your answer
Attendee's First Name
*
Your answer
Attendee's Email Address
*
Your answer
Type of Registration:
*2024-4 Early Bird (By August, 17) - $340
*2024-4 Alumni Early Bird (By August, 17)- $240
*
2024-4 Regular Registration - $360
2024-4 NYCTCM Alumni - $280
2024-4 Non-NYCTCM students - $80
2024-4 NYCTCM students/faculty - $0
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of New York College of Traditional Chinese Medicine.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report