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Send a Student to Legislative Day 2024
Thank you for sponsoring a Chiropractic Student to attend Legislative Day 2024! Please fill out the form below.
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Your Name
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Your answer
Your Email
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Your answer
Your Cell Number
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Your answer
Name of student you are sponsoring. If you don't have a particular student in mind please write in "NA", and we will select a student on your behalf.
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Your answer
Student's Email (if applicable)
Your answer
Student's Cell Number (if applicable)
Your answer
Sponsor a Student for $25.
Please enter the number of students you would like to sponsor.
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Your answer
I authorize CalChiro to charge my credit card for the selected amount.
Please Initial.
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Credit Card #
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Your answer
Expiration #
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Your answer
Security Code
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Your answer
Billing Address, City, State
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Your answer
Billing Zip Code
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Your answer
Thank you for sponsoring a student. A receipt will be emailed to the address provided.
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