Welcome to the VOM Technology and Animal Adjusting!

International Association of Veterinary Chiropractitioners and the American Animal Adjusting Association

Please note: We are filling orders and registering for seminars only via phone so please fill out, print and fax this form to 208-772-4350 or better yet, call Dr Inman at: 888-935-4866

 
NOTE: Use your TAB key to navigate this form.
This will update the amounts in the "total" column.

Seminar Location: Choose Location and date Dallas, TX Jan 27-28-29 2012 Philadelphia, PA Mar 1-2-3-4 2012 Denver, CO April 19-20-21-22 2012 Orlando, FL May 17-18-19-20 2012 San Francisco, CA Advanced Laser June 9-10 Coeur d Alene, ID July 21-22 2012 Portland, OR Aug 17-18-19 2012 Boston, MA Sept 14-15-16 2012 Dallas, TX Oct 20-21 2012 Los Angeles Nov 15-16-17-18 2012 Tampa Nov 30-Dec 1-2 2012 More Dates to Be Announced Soon. Please Check Back!
# Attending	Module Options	Price	Total
	Module One	$275	275
	Module Two, Three, Four, Five or Six Workshop & Materials	$475	475
	Accelerated Accreditation Program (Module 1,2 &3)	$1249	1249
	VOM Intensive Training Modules 1,2,3 & 4 in three days	$1375	1375
	VOM Intensive Training (Modules 1,2,3,4 & 5 in 3 days)	$1399	1399
	VOM Regional Symposiums including Modules 1,2,3,4, with Module 5 all day Sunday and Module 6 all day Saturday ( see schedules for times and availability             $1499		1499
	(Using the TAB will update this amount) Sub Total for Seminars:
Available now! - Module  (Small Animal and Cold Laser Exclusive Module) - Call for Dates and Locations 888-935-4866

 

Qty.	Item	Price	Total
	VOM/ Small Animal Module One Text, 115 Pages ($41) PLUS VOM/Small Animal Module One Tape, 58 min. ($69)	$110
	Clinical Applications and Case Studies tape, 120 min.	$70
	VOM Module Two text, (120 pages) and tape	$110
	VOM Module Three text (feline and equine techniques)	$50
	VOM Module Three tape (feline and equine techniques)	$70
	VOM Module Four, SV and VMR Tech (Text and Tape)	$150
	VOM Pak (Forms and Documents plus CVCP Certification Exam)	$150
	Dual Tool Hand-Held Spinal Adjusting Device (adjusts all animals an replaces both the VOM and EAT devices)	$330
	VOM Adjusting Tool (replaces VOM, EAT, and Dual Tool and works on all animals)	$559
	Vetrostim Adjusting device and attachments (some restrictions)	$1075
	(Using the TAB will update this amount) Sub-Total for Materials:

Total Amount Due: Plus $15.00 Shipping & Handling if any "Materials" were ordered. Some restrictions apply, some devices and materials require previous training.

 

Name of Person(s) attending Seminar: Daytime Phone Contact: Evening Phone Contact:

 

Credit Card Information: Credit Card chooseVISAMasterCardAmerican Express Acct # Exp (i.e 0402) Name on Card: phone: (i.e. 123-456-7890)

Billing Address:

Mailing Address: same as billing, if left blank

fax: (i.e. 123-456-7890)

e-mail: (required)

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To order by fax, print this form after filling it out and
fax it to 208-772-4350

To order by phone, dial 1.888.935.4VOM or 1.888.935.4866

To order by mail, print this form after filling it out and
mail it to:
VOM Technology
3761 E. Lookout Dr.
Coeur D' Alene, ID 83815

Again please fax this form to 208-772-4350 or call Dr Inman at: 888-935-4866

For questions, comments or problems using our website please contact the webmaster.