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Presents
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Gomez Orthotic System (GOS) Course |
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This outcomes-oriented course will provide the practicing orthotist with an in-depth overview of Dr. Gomez' systematic approach to the comprehensive management of a broad range of spinal pathologies using custom
orthoses, for diagnoses that include not only scoliosis but also post-operative stabilization and the conservative treatment of neuromuscular disorders. |
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September 27-28, 2008
Chicago, IL
Northwestern University Prosthetic & Orthotic Center |
Course Instructors:
Miguel Gomez, MD, LO John Michael, CPO, FAAOP
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Credit card information must be received for registration to be processed.
Your credit card will not be billed until 45 days prior to the seminar. |
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Contact Information:
OPGA
P.O. Box 1467
Waterloo, IA 50704
Attn: Jim Andreassen
Cancellations must be received in writing
45 days prior to seminar to be refundable.
All cancellations are subject to a $25 handling fee. |
***Minimum class size required***
OPGA reserves the right to cancel seminar due to lack of participation
Fax: 888-449-0610
Phone: 800-214-6742 |
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Registration is limited |
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| 1. Complete the following registration information: |
| OPGA or POINT number: |
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| Name: |
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| Company: |
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| Address: |
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| City: |
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| State: |
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| Zip: |
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| Phone number: |
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| Fax number: |
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| Email Address: |
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yourname@yourcompany.com |
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| Which seminar would you prefer to attend? |
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Chicago
- September 27-28 |
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| 2. Type of tier desired: |
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Tier I – “Hands-On” – Full two-day seminar, which includes patient evaluation with casting, modifications, and
one TLSO fitting. Attendee must provide own patient model and his/her travel arrangements
Fee
$1,095 for OPGA and Point members
$1,990 for non-OPGA and Point members |
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Tier II – “Observation” – Full two-day seminar, which includes observation of patient evaluation, but no hands-on participation
Fee
$695 for OPGA and Point members
$1,090 for non-OPGA and Point members |
Note: Class size is limited to 32 (8 Tier I and 24 Tier II) participants and will be offered on a first-come, first-serve basis.
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All registration fees include the following:
- Tuition fees for the full
two-day seminar
- Evaluation
materials for Tier I participants
- Class room materials
- Breakfast, lunch and afternoon breaks for attendees and patient models
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| 3. For hotel reservations, complete the following: |
| Method of travel: |
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Flying |
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Driving |
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Arrival date |
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Departure date |
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| Room Preferences: |
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Smoking |
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Non-smoking |
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Single |
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Double |
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Roommate |
| We will contact you with your confirmation number and room rate |
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| 4. Select payment method and enter total. |
| Your credit card will not be billed until 45 days prior to the seminar |
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| Bill my Credit Card |
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Visa #
(ex. 1234567890123456) |
Exp. date:
(ex. 01/00) |
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Master Card #
(ex. 1234567890123456) |
Exp. date:
(ex. 01/00) |
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AMEX #
(ex. 1234567890123456) |
Exp. date:
(ex. 01/00) |
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Name exactly as it appears on Credit Card
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Authorization Code
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Total Fee Charged |
$ |
OR
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