ICPA Connect - Dallas Registration Form
Do you want to connect with regional doctors and students? Fill out the information below to save your spot at
ICPA Connect-Dallas.
Spots are limited!
May 4, 2024
7:30 PM - 9:30 PM
Prime Chiropractic
210 N Park Blvd Ste 107
Grapevine, TX 76051
*
1.
Full Name
(Required.)
Enter your email and cell phone below to receive updates about the event.
2.
Email
3.
Cell Phone
4.
I am a:
DC
Student
5.
If you answered DC, in which city do you practice?