Pediatric Functional Medicine with Dr. Elisa Song

Billing information

First name*

Last name*

Email*

We'll send your invoice and other important info to this email.

Company name

Country

Address*

Address line 2 (optional)

Zip code*

City*

State

This product is for someone else

Participant info

Name - First name*

Name - Last name*

Work address

Country

Address

Address line 2 (optional)

Zip code

City

State

Mobile phone

Mobile phone*

Email*

Check if you're a licensed acupuncturist

License #/State (put N/A if student or other)

Why did you decide to take this course?

Does your licensing allow you to order lab tests?

Do you feel like you need more Western medicine training? If so, on what topics?

Refund Policy

Refunds are given at the sole discretion of Robin Green Acupuncture, Inc. and may be requested within 14 days of registration for this course. After that period no refunds will be given.

Your payment

Choose price

$225.00

2 payments
$240.00 in 2 payments
only if paying by Stripe

Have a coupon code?

Coupon code

Update

Stripe

Card number*

Expiration

CVC code*

3-4 digit code (see where to find it)

All transactions are secured using 256-bit encryption.

I understand and agree to

Yes, please send me important news and special offers via email (recommended)

Simplero

Robin Green Acupuncture, Inc. © 2020