Society of Chiropractic Orthospinology

2336 Wisteria Drive Suite 110
Snellville, GA 30078
770-979-8327

Order Form

Name: ________________________ Phone:_____________
Address:__________________________________________
City: ________________________State: ________________
Zip: __________


Quantity/Shipping


(_____) /$5Adult/ Child Analysis Instrument.......$35.00


(_____) /$3Resultant Angle Booklet ........................$5.00


(_____) / $10 Pamphlets.........................................$1.50 ea


(_____) /$3Directory...................................................$30.00


(_____) /$5Manual. ....................................................$35.00


( ___ ) VIP Orthospinology Membership................$80.00


( ___ ) Partial Membership .......................................$40.00


( ___ ) Advanced Class Texas.................................$295.00


( ___ ) Basic 1/Basic 2/Advanced.........................$395.00


( ___ ) Risk Management........................................$100.00

Total $___________

Method of Payment


( ___ ) Check ( ___ ) Credit Card