When: September 27-28, 2018 Where: Des Moines University, 3200 Grand Ave., Des Moines, IA 50312 Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Phone*What PT school do you currently attend?*Registration fee* Price: $85.11 Add books PTEXAM: The complete study Guide PT Content Master Flash Cards Do you have remaining funds from the Job Fair? (If applicable)*No, this does not apply to me.Yes, please subtract my remaining funds from the job fair.PaymentTotal $0.00 How would you like to pay?*Credit CardCheckAfter submitting please deliver a check to Olivea mead, AC 3rd floor.Credit Card* American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20182019202020212022202320242025202620272028202920302031203220332034203520362037 Expiration Date Security Code Cardholder Name This iframe contains the logic required to handle Ajax powered Gravity Forms.
