McKenzie Management - Dental Consulting, Dental Continuing Education, Dental Practice Management, Dental Patient Marketing, Dental Consultants, Team Training, Dental Speakers, Dental Career Development


Yes, I would like to begin with McKenzie's Monthly Practice Adviser.
Please fill in ALL the fields including the Terms and Conditions.
Doctor Name	:
Address	:
City	:
State	:
Zipcode	:
Phone	:
Email	:
Practice Management Software	:
if selected Other PMS Software	:
Practice Management Software Login	:
Practice Management Software Passcode	:
Operating System	:
Windows Login Name	:
Windows Password	:
Type of Practice	:
Number of Doctors	:

Terms and Condition:
	I authorize McKenzie Management to charge my credit card the first day of each month for the Monthly Practice Adviser fee.
	I understand that if my credit card is declined for payment, I will be notified by McKenzie Management, and I will have two weeks to rectify. I will be assessed a $50 late fee if payment is not made after two weeks and my service will be terminated.
	I have read and agree with the Remote Login Authorization	Remote Login Authorization
	I have read and agree with the HIPAA Agreement	HIPAA Agreement