ENROLLMENT FORM

FOR 03/23 ONLINE SEMINAR ATTENDEES ONLY

Increase your Collections by an Extra $10,000-$50,000 per month and your New Patients by an Average of 26% per month in 90 days (or less) with no additional marketing!

ALL THREE OPTIONS INCLUDE A SCHEDULING INSTITUTE ALL-ACCESS GOLD MEMBERSHIP

All packages include a limited time Gold Membership which gives you access to these benefits:

✓ On-going 5-Star Telephone Accountability and Certification for Your Enrolled Team Members
✓ Practice Building Focus for You (the Doctor) through Monthly Virtual Lessons
✓ Two Seats to a LIVE Customer Appreciation Event [Semi-Private Experience] with Jay Geier