Planet Chiropractic

(page saved for historical purposes only)

PANAMA MISSION
Jan 31. to Feb. 7, 2004

 

Dear Doctors of Chiropractic,

I want to personally welcome you and thank you for partaking in this important and beautiful mission. These are the steps that you need to follow to help me process you as part of the mission:

  1. Complete and fax back the registration form. This will allow me to make hotel reservations in Panama. Fax: (831) 678-5097

  2. I need a copy of your chiropractic license and chiropractic diploma. Please mail them to:

    Lina Sigafoosita Ocon
    109 Alder St.
    Soledad, CA 93960

     

  3. If you make your own travel arrangements make sure you send me a copy so we can pick you up at the airport.

  4. Registration fee is $149.00 per DC and $50.00 for staff, spouses or students. I will charge the registration fee to your Visa, MasterCard or Discover card on January 15th of 2004. There will be no refunds after that day.

Once again thank you for loving what I love and God Bless you! Lina

 

 

Please print these pages and fill out the registration form below. The form should print on a single sheet of paper. If you have any problems printing please email me at: mail@planetc1.com - Mike D.

 

Registration Form

 

Doctors Name: _____________________________________

Phone: ______________________________

Are you traveling alone?   Yes _____   No _____

Do you need a roommate?   Yes _____   No _____

Name of people traveling with you or if you have a roommate in mind?

________________________________________________________________

Credit card type:  VISA _____   MasterCard ______   DISCOVER ______

Credit Card #____________________________________ Expire Date __________

Signature ____________________________________ Today's Date ___________

I authorized Ocon Family Chiropractic to debit $ ___________ from my card.

Your email address _____________________________________

Please fax to 831 678-5097   Attention LINA

El Panama hotel price is:

$80.00 per night for single bed room + 10%
$90.00 per night for double bed room + 10%

includes:

- Welcome Cocktail
- $10.00 of casino chips
- Breakfast Buffet