QUANTUM NEUROLOGY ORDER FORM Quantum Neurology® Packages o (All packages come with FREE CON. U.S. shipping and handling) QN Training Essentials - ONLINE & LIVE Save up to $3,000 $5,000 QN DVD Neuro Rehab Essentials w/ GRT Lite Save up to $690 $2,500 QN DVD Neuro Rehab Essentials Save up to $190 $660 Save up to $120 $660 Contains: GRT LITE™ / Modules 1 & 2 Online Training for 1 Year / Modules 1 & 2 - One Live Attendance o Contains: GRT LITE™ / Motor Rehabilitation DVD / Cranial Nerve DVD / Healing Form DVD o Contains: Motor Rehabilitation DVD / Cranial Nerve DVD / Healing Form DVD o QN ArthroStim® DVD Essentials Contains: Elbow & Wrist / Frozen Shoulder / Cervical & Thoracic / Hip & Low Back / Knee & Ankle / Foot Books o Holographic Healing ~ 7 Keys to a Healthy and Energized Life o Secrets to Natural Healing ~ The Lymphatics (eBook only) QTY QTY $20 $20 QTY $2,000 QTY $25 QTY QTY QTY QTY QTY QTY QTY QTY QTY $350 $495 $350 $350 $495 $250 $150 $495 $495 (Advanced Dysfunction Therapy) QTY QTY QTY QTY QTY QTY QTY (Lymph & Muscle Detox) QTY $120 $120 $120 $120 $120 $120 $120 $120 QTY $499.00 QTY $160 QTY $570 QTY $150 QTY $675 GRT LITE™ and Accessories o GRT LITE™ Light Therapy Device FDA 510K #: K050668 *Comes with 1-yr warranty, see online for details o GRT LITE™ Carrying Case Quantum Neurology® Rehabilitation DVDs o o o o o o o o o Cranial Nerve Rehabilitation Cranial Nerve Rehab. Vol II Cranial Nerve Plus Motor Rehabilitation Motor Rehabilitation Vol II Autism Rehabilitation Healing Form Sacral Nerve Rehabilitation Vertigo Rehabilitation (Mod 1 or 2 Prerequisite) (Mod 1 or 2 Prerequisite) (Mod 1 or 2 Prerequisite) (Mod 1 or 2 Prerequisite) (Mod 1 or 2 Prerequisite) (Mod 1 or 2 Prerequisite) (Mod 1 or 2 Prerequisite) Quantum Neurology® & ArthroStim®/VibraCussor® DVDs o o o o o o o Elbow & Wrist Frozen Shoulder Cervical & Thoracic Lumbar & Hip Knee & Ankle Foot Advanced Hip o VibraCussor® FLUSH (Carpal Tunnel & Tennis Elbow) (Shoulder) (ROM & Mobilization) (ROM & Mobilization) (Sprains & Biomechanics) (Plantar Fasciitis & Hammer Toes) Prisma Colour Energy® Glasses o Therapists Set of 12 Sundance Glasses Red/ Orange/ Yellow/ Green/ Turquoise/ Blue/ Indigo/ Violet/ Magenta/ Lime/ Scarlet/ Purple Tuning Fork Sets (US Shipping Included) o Concert Set - 8pc Set *Dr. Gonzalez's recommended first set One Octave C to C / 261.6 - 523.2Hz o Full Auditory Set - 30pc Set Save up to $50 Includes: Basic & Standard Auditory Sets o Basic Auditory Set - 6pc Set Every 1000Hz, 1000 - 6000Hz o Complete Tuning Fork Pkg - 38pc Set *See back for policy. Dr. Name: Save up to $105 Sub-Total 2017 LOS ANGELES, CA ~ SEMINARS o o o o o o o o o o o January 27 - 28 February 16 - 17 February 17 - 18 May 4 - 5 May 5 - 6 July 7 - 8 September 22 - 23 October 12 - 13 October 13 - 14 November 10 - 11 Fri -1/2 Sat Thur - 1/2 Fri 1/2 Fri - Sat Thur - 1/2 Fri 1/2 Fri - Sat Fri -1/2 Sat Fri - Sat Thur - 1/2 Fri 1/2 Fri - Sat Fri - Sat Module 4 - Neuroexpression™ - Sensory Module 1 Seminar - Motor Rehabilitation Module 2 Seminar - Sensory Rehabilitation Module 3 Seminar - Visceral Rehabilitation QNCP Testing Module 4 - Neuroexpression™ - Visceral GMRT (Gonzalez Muscle Reset Technique) Module 1 Seminar - Motor Rehabilitation Module 2 Seminar - Sensory Rehabilitation Homecoming One Module - Online and Live $2,000 One Year Online Training + One Live Event o One Module - Online and Live + GRT Lite $3,500 One Year Online Training + One Live Event + GRT Lite o Two Modules - Online and Live + GRT Lite $5,000 One Year Online Training for 2 Mods + Two Live Events + GRT Lite o ALL IN - All three Modules Live & Online + GRT Lite $11,000 Modules 1,2 & 3 Online for 2 Years + 6 Live Events + GRT Lite & Holster (see online for full description) o o o QNCP Testing GMRT (Gonzalez Muscle Reset Technique) Homecoming Event At Door $1,500 $2,000 $1,500 Any licensed medical professional may attend Module 1, 2 & Holographic Seminars. Take Modules 1-3 one time, in order. Dates may change, call to verify. Registration & Method of Payment Sub-Total Shipping Total (If in CA, add 9.00% Sales tax to products) Order Date / Referred By ↑ (fill in above please) Payment Method: MC | V | AMEX | DISC | Check# (*Required if paying by credit card) Doctors Name, Degree & License # ↑ *Credit Card Number ↑ Office Address ↑ *Billing Address (If different) ↑ ( ) *Exp Date ( ) *Security Code Office Address 2 ↑ *City / State / Zip ↑ City / State / Zip ↑ Office Phone ↑ Office Fax ↑ Email ↑ ONLINE STORE: www.QuantumNeurologyStore.com US Shipping Charges: Priority Mail $15 / Express Mail $35 International Shipping: Priority Mail $25 / Express Mail $60 *Signature ↑ Date ↑ Make Checks Payable To: GRT Solutions, Inc. Mail Checks To: PO Box 1690 (Attn: Daniel Guzman/Orders) Kingston, WA 98346-1690 Email Orders To: [email protected] Call In Orders: (323) 653-2818 Fax In Orders: (866) 642-8208 PayPal - Send funds to: [email protected] Wire Transfer: Please call/email for details Pricing may change with out prior notice. Products* have a 30 day money back guarantee (no returns on DVDs) from original date of purchase, with a 10% restocking fee. Shipping not included. Warranty and shipping charges are non-refundable. Quantum Neurology® reserves the right to cancel or reschedule any seminar; efforts will be made to give notice in advance. We are not responsible for any costs incurred, including airfare (or penalties) and hotel, and/or exchange rate, as a result of a cancellation or date and time change of any seminar. Seminar cancellations carry a 10-15%* cancellation fee. Seminar no-shows or people that miss a portion of the seminar will forfeit their seminar fees. Seminars may be rescheduled twice, within a 12 month time period, after 12 months a refund will be issued minus a 15% cancellation fee. *See online for full policy.
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