Gathering information

Before we send you to the course selection page, we need to gather a little information about you and your practice. This allows us to accurately report your attendance and comply with MBCE as a continuing education sponsor.
If you would like to sign up multiple chiropractors, please fill out this form once for each provider.

Questions marked with an asterisk ( * ) are required.

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* 1. First name

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* 2. Last name

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* 3. Clinic name

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* 4. Mailing Address:

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* 5. E-mail Address: Please verify your email address is correct, the attendee informational email is sent to this exact email address.

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* 6. Phone Number:

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* 7. Minnesota License Number?  (For CE Credit)

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* 8. How are you notified about iSpine CE seminars?

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* 9. Is this your first time attending an iSpine CE Course?

Please verify the email address you entered above is correct. The day before the CE seminar you will receive an attendee informational email to that exact email address.
You must click "Next," to make your CE course selection. If you haven't completed the second page, you are NOT registered for the CE seminars.

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