Ozone Therapy & Essentials of Natural Medicine Course
Grand Sierra Resort and Casino, Reno Nevada October 22 - 25, 2010 (Plus Advanced Courses!)

Please Book your Hotel Room by Calling the Grand Sierra Resort as soon as possible at 775-789-2000.
(Home Page)

First Name: Last Name:
Are You a Practitioner?: Type (ND, MD, HMD...):
Street Address:
City/State/Zip/Country::
Phone: Fax: Email:
How Did you Hear of InMed's Courses?:


Section 2:
If you are registering for a single module (other than Module 1), OR if you are registering for Modules 4 and 5, or the package of Module 3, 4, and 5, then you must have previously attended the Prerequisite courses mendtioned above. Please tell us when you attended the prerequisite course(s) by completing the following:
"I attended Module 1 Module 2 Module 3 on this date (D/M/Year):

 

Section 3: How Would You Like To Pay for the Course?

  Personal Check (payable to InMED, Inc.)

  Visa

  MasterCard

Cardholder'd Name (Please Print)) _________________________________________________________

Card No. ___________-__________-__________-__________

Exp Date: ________________

Cardholder's Signature:  _______________________________________________________

$50.00 Cancellation Fee with at least 30 Days Notice. If you cancel with less than 30 days notice only 1/2 of the Registration Fee is Refunded. No refunds if you do not cancel within 1 day of the course.
Return this Registration Form by Fax to InMed: USA/Canada:1-250-665-7883 Interntational: 001 250 665 7883
Mail Checks to InMed: 1231 Country Club Dive, Carson City, NV 89703 USA.
Payment must be received before a seat can be reserved for you. Checks must be received a minimum of 1 week before the course. Checks and Registrations are not accepted at the door.