TMR Seminars - Enrollment Form
Please use this form ONLY When You Have Purchased TMR COURSES (TMR-1, TMR-2, TMR-3)
Full Name with credentials
*
First Name
Last Name
Credentials
Email (please try to use the email registered with us)
*
Cell #
*
From Where Did You Came To Know About The Course - Facebook / Instagram / Google / Emails / Friends / LinkedIn / Internet Search / Others (please specify)?
*
Which TMR Package Purchased? (TMR-1, TMR-2, TMR-3, TMR All 3 Seminar Package)
*
Has The Course Been Purchased By Your Clinic Owner (Clinic Staff Package) ? (If Yes, please provide your Owner Name & Clinc Name For Reference)
*
Have Your Taken this Course Before? If yes, please let us know the date
*
Seminar Level You Want To Enroll: (TMR-1 / TMR-2 / TMR-3)
*
Live-Online Or Homestudy?
*
For Live-online, please put Seminar Date. For Homestudy, please put start date
*
April 17-18, 2021
Professional Lic # and State
State
Lic #
Submit
Should be Empty: