Registration

Please complete the form below to register for 1 Day Regional / 1 Day CE - New Jersey.
Members: Please note, there is no longer a way to prevent you from registering for the same event twice. We urge you to retain your confirmation emails to refer to. You may also check for events you are alreay registered for by visiting your profile page and clicking on the "Events" tab. Events you are registered for are listed there.

Membership Information

Membership Type	Price	# Attending
Guest - Entire Weekend	$110.00
Guest - Saturday CE Only	$55.00
TLC Member - Entire Weekend	$110.00
TLC Member - Saturday CE Only	$55.00

Billing Information

First Name *

Last Name *

Billing Address

Billing City

Billing State *

Billing Zip

Practice City *

Practice State *

Email *

Would you like to make a donation to sponsor students and other DCs to attend events? *

No, thank you

$25

$50

$100

Payment Information

Coupon

Amount

$

Discount Amount

$

Late Fee

$

Gross Amount

$

Payment Method

Authorize.net

Credit Card Number*

Expiration Date*

/

Card (CVV) Code*

Card Holder Name*

By registering for this event, I accept Terms and Conditions

Contact Information

907 Easton Road, WIllow Grove, PA 19090

coach@tlc4u.life

877-TLC-4888 (Inside US only)

215-657-1701 (All Others)

Office Hours

Mon - Thu: 9:00 am - 4:30 pm

Friday: 9:00 am - 12:00 pm