Registration information is limited to the Primary Doctor per Practice.

Products   Price Quantity Total
Platinum Membership After Trial

Platinum Membership - After Trial

$705.00 1 $705.00
Platinum Monthly Dues

Platinum Monthly Dues

$195.00/ month
$195.00 1 $195.00
Subtotal $900.00
Order Summary
Subtotal
$900.00
Total Due
$900.00
Billing Information
Payment
 Credit Card