MP Registration


	MASTERY OF PRACTICE

PROGRAM

CONFERENCE

VALUOCITY

CORE VALUES

MOP REGISTRATION

THE MASTERY COMPANY

GENERAL REGISTRATION
The Mastery Program

This is the general registration form for the Mastery Program. Complete the form and click SUBMIT at the bottom of the page.

Next Available Program (MP.24): Fall, 2010

PROGRAM COST:

NEW CLIENT Tuition is $13,400 (Down payment of $2,000 required)
12 months at $950, billed to credit card.
MASTERY GRADUATE Tuition is $10,000 to review (Down payment of $1,000 required)
12 months at $750, billed to credit card.

After submitting your registration below, you will be directed to a page where you can insert your goals for the program. This will complete the registration process.

Thank you for your interest in the Mastery Program. If you have any questions, please e-mail us or call (425) 806-8830.

		Who referred you to the Mastery Program?

		Name *

		Billing Address

		Country

		E-mail Address *

		Main Phone Number		Back Line Number

		Cell Phone Number		Home Phone Number

		Year Graduated from Dental School

Gender

Male

Female

		Name (Office Manager) *

		E-mail Address (Office Manager) *

COPYRIGHT NOTICE: Elements of the Mastery of Practice Online Program may be downloaded for viewing purposes, but may not be used without the prior consent of THE MASTERY COMPANY. Consent may be obtained by registration or by hiring TMC to conduct said program. Use of Mastery of Practice program materials without prior consent is in violation of the Federal Copyright Law [17 USC 101 et seq]. Violators may be subject to criminal penalties as well as liability for substantial monetary damages, including statutory damages of up to $100,000 per infringement, costs and attorney's fees.

Credit%20Card%202.jpg

Credit Card Information

Credit Card Type

Credit Card Number (No Spaces)

Expiration Date (08/09)

Credit Card Charges:
Your monthly charge will show up as "MBC Inc." or "The Mastery Company" on your credit card statement.

* Required to submit this form