\r\n
\r\n
\r\n
\r\n Registration must be completed by the Primary Doctor of\r\n Chiropractic (Practice Owner).\r\n
\r\n \r\n
\r\n {{ message }}\r\n
\r\n
\r\n {{ message }}\r\n
\r\n
\r\n
\r\n
\r\n
\r\n \r\n \r\n \r\n \r\n | \r\n \r\n \r\n | \r\n \r\n \r\n | \r\n \r\n \r\n | \r\n \r\n Total Fee\r\n | \r\n
\r\n \r\n \r\n \r\n \r\n 20% discount when membership fee is paid in\r\n full.\r\n | \r\n | \r\n | \r\n | \r\n $800.00 | \r\n
\r\n \r\n \r\n Membership Fee is paid in four payments.\r\n | \r\n | \r\n | \r\n | \r\n $1,000.00 | \r\n
\r\n \r\n \r\n Membership Fee has a payment of $95.00 for 1\r\n month only.\r\n | \r\n | \r\n | \r\n | \r\n $95.00 | \r\n
\r\n \r\n
\r\n\r\n
\r\n \r\n \r\n Products | \r\n | \r\n | \r\n | \r\n Total | \r\n
\r\n \r\n \r\n \r\n \r\n Single Membership Fee Payment\r\n | \r\n | \r\n | \r\n \r\n $800.00\r\n | \r\n
\r\n \r\n \r\n First Membership Fee Payment\r\n | \r\n | \r\n | \r\n \r\n $250.00\r\n | \r\n
\r\n \r\n \r\n Single Membership Fee Payment\r\n | \r\n | \r\n | \r\n \r\n $95.00\r\n | \r\n
\r\n \r\n \r\n Monthly Dues\r\n | \r\n | \r\n | \r\n \r\n $195.00\r\n | \r\n
\r\n\r\n \r\n \r\n Monthly Dues\r\n | \r\n | \r\n | \r\n \r\n $195.00\r\n | \r\n
\r\n \r\n \r\n Monthly Dues\r\n | \r\n | \r\n | \r\n \r\n $49.00\r\n | \r\n
\r\n \r\n
\r\n
\r\n
\r\n
\r\n Order Summary\r\n
\r\n
\r\n
\r\n
Total Due
\r\n
\r\n $995.00\r\n
\r\n
\r\n
\r\n
Total Due
\r\n
\r\n $445.00\r\n
\r\n
\r\n
\r\n
Total Due
\r\n
\r\n $95.00\r\n
\r\n
\r\n
\r\n
Total Due
\r\n
\r\n $49.00\r\n
\r\n
\r\n
\r\n
\r\n
\r\n
\r\n
\r\n
\r\n Billing Information\r\n
\r\n
\r\n
\r\n\r\n
\r\n\r\n
\r\n\r\n
\r\n\r\n
\r\n\r\n
\r\n\r\n
\r\n\r\n
\r\n\r\n
\r\n\r\n
\r\n
\r\n
\r\n
\r\n
\r\n
\r\n\r\n