Leaving blank fields will detain registration & confirmation (confirmation packet will be sent within 1 week). PLEASE FILL OUT COMPLETELY.

Seminar Date   Location

Name & Designation (as it will appear on certificate)

Mailing Address  City  State  Zip

Phone (0)   (H)  Fax

Email VISA/MC #  Exp. Date 

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ADVANCED JMT™ Seminar                                     BASIC JMT™ Seminars

New Registrant - $ 850.00                                    Osteoarthritis Seminar - $375.00

JMT™ Practitioner - $ 700.00                               Refresher Course - $250                           

Refresher Course - $400   

To be eligible for discounted rate,
please indicate date of previous JMT™ training  

MULTI-SEMINAR DISCOUNT
FOR GROUPS UNDER 10 Multi-seminar discount price is for taking Osteoarthritis on Friday immediately followed by the Advanced JMT training Saturday-Sunday. Total price is $975.

FOR GROUPS OVER 10 Multi-seminar discount price is for taking Osteoarthritis on Thursday immediately followed by the Advanced JMT training Friday-Sunday. Total price is $975.

50% deposit is due per seminar at time of registration to guarantee your place
at the seminar.

Please call the JMT™ Seminar office at Toll Free 1-727-865-6900
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Registering 72 hrs. or less prior to seminar ADD $25

TOTAL DUE $

Checks Payable To: P.O. Box 531754, St. Petersburg, FL 33747-1754
email: seminars@jmttechnique.com
Seminar dates, locations & times may change entitling registrant to a full refund or use toward another seminar.

SEMINAR TERMS: All cancellations must be in writing. Cancel 30+ days prior to event - tuition refund less $75 Adm. Fee per seminar; 29 days or less - forfeit 50% tuition, 72 hrs. or less - forfeit 75% of tuition. 100% tuition sacrificed after 1 yr. (no transfers accepted). No show - sacrifice 100% tuition. Jaffe-Mellor Assoc., Ltd. will not be responsible for your business conflicts, cancelled flights, medical emergencies, personal reasons, etc. Absolutely no exceptions. Transferring seminar(s) 72 + hrs. notice - $25 Adm. Fee; less than 72 hrs. notice - $50 Adm. Fee. JMT™ accepts a total of 2 transfers (appropriate Adm. Fee will be applied per transfer). If canceling after 2 transfers - 75% of tuition forfeited for each seminar cancelled within the year. Canceling after 1 year - forfeits 100% tuition. No further transfers permitted.