Registration Details (Local Based)

Personal Details


Contact Name*  
       
Clinic Name * Legal Name
       
Email* Confirm Email*
   
Phone Number* Cell Phone Number  
       
Street Address*  
       
       
City* State* Zip Code* Country*
       

Product Details (Local Based)

Dentist
Administrator
Front Desk
Nurse / Assistant
$ 499 with 4 users free
Cosmetic Doctor
Administrator
Front Desk
Nurse / Assistant
$ 499 with 4 users free
General Doctor
Administrator
Front Desk
Nurse / Assistant
$ 499 with 4 users free
The above plan comes with 4 users only, additional user is $ 30
Additional User/Users:
Total Price :
0.00 

Get 1 year Technical, Training, Updates & Support for only $ 99

Terms and Conditions