Cedarville Seminars for Optometric Vision Therapy

Registration Forms - Please Complete and Send either Form 1 or Form 2:

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Form 1. Attending All 3 Seminars? Please complete the information below, and check the box for the appropriate Registration Fee:

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Full Name: *

Title: *

Phone: *

E-mail address: *

$4,995 per attendee

SAVE $1,500! Pay $3,495 per attendee if paid in full by Dec 15, 2019

Work Address *

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Form 2. Attending 1 or 2 Seminars? Please complete the information below, check the boxes for the Seminar(s) you plan to attend, and check the box for the appropriate Registration Fee:

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Full Name: *

Title: *

Phone: *

E-mail address: *

Vision and Learning: March 20-23, 2020

Strabismus & Amblyopia: July 17-20, 2020

Neuro-Optometric Rehab: Nov 13-16, 2020

$ 1,950 per attendee per Seminar

SAVE $300! Pay $ 1,650 per attendee per Seminar if paid in full before Dec 15, 2019

Work Address *

City *

State

Zip / Postal Code

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Discounts for multiple attendees from the same practice! Contact us at visiontherapyseminars@yahoo.com for more information.

Optometrists in their first 5 years of practice will receive 20% off the above rates.

Please send your payment (check or money order only, please) 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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