Adss

In case the Credit Card processing is not working, kindly make a PayNow transfer to UEN: T00SS0151J51J & input in the reference what you’re paying for.

Attach the PayNow screenshot payment to ([email protected]) with your Full Names, Phone Numbers (mobile) and Address.

Have a coupon? Click here to enter your code

Renew Membership

Registration Form

First name *

Last name *

DCR Number or State Registration / License number *

Clinic Address *

Clinic Phone No *

Email address *

Contact Number *

Year of Graduation *

Address *

Purchase Confirmation

Description	Subtotal
Renew Membership	$50
Entrance Fee	$0
Total	$50