Remarkable Patient Retention Immersion Live Event cost includes one (1) Doctor and up to two (2) Team Members.
Additional cost of $175 / per Team Member. Please fill out the information below and click Next to proceed.
Please Enter Your First Name *
Please Enter Your Last Name *
Please Enter Your Email *
How Did You Hear About Us
Please select one
How Did You Hear About Us - Other *
Are you currently a chiropractic student?
What chiropractic university do you currently attend?
When do you graduate? (MM-DD-YYYY)
Would You Like to Bring Team Members Along?
How Many Team Members Will You be Bringing?
Name of Person 1
Name of Person 2
Name of Person 3
Name of Person 4
Name of Person 5
Name of Person 6
Name of Person 7
Name of Person 8
Name of Person 9
Name of Person 10
If you are bringing more than 10 people, please get in touch with us at firstname.lastname@example.org