Decide. Commit. Succeed!
Register
log in
Home
Seminars
Webinars
Materials
About us
Contact us
Membership
Registration information is limited to the Primary Doctor per Practice.
Products
Price
Quantity
Total
Platinum First Month Dues
Platinum Monthly Dues $195.00
$100.00
1
$100.00
Subtotal
$100.00
Order Summary
Subtotal
$100.00
Total Due
$100.00
Billing Information
*
First Name
*
Last Name
*
Email Address
*
Practice Name
*
Address - Line 1
Address - Line 2
*
City
*
State
Select state
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
*
Zip Code
*
Phone Number
Payment
Credit Card
Credit Card Number *
Expiration Date
1
2
3
4
5
6
7
8
9
10
11
12
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
CVV Code (optional)
Place Order