REGISTRATION FORM

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Neuro-Optometric Rehab June 11-13, 2021; Registration Fee $1,195

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Payble via PayPal (send to brenda@brendamontecalvo.com), credit card (please call 937-776-7723 to

provide your credit card information), or send check or money order payable to:

Cedarville Vision Seminars

P.O. Box 358

Cedarville, OH 45314

For additional information contact:

Anthony Montecalvo, Administrator at VisionTherapySeminars@yahoo.com

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