Member Enrollment

Important Information:

• If you’ve been invited as a member of a specific club, please indicate the Specialist that invited you in the space provided.
• Membership costs $79/month.
• Your payment today reserves your membership position and provides access to the Members Area of dbsclubs.com.
• Your membership will automatically renew each month.
• Visa, Mastercard, Discover, AMEX, and PayPal are all accepted forms of payment.

Terms:

$79 / month

First Name:* First Name Required

Last Name:* Last Name Required

Practice Name:* Practice Name is Required

Practice Address:* Practice Address is Required

Phone:* Phone is Required

Referring Specialist (Leave blank if not applicable): Referring Specialist (Leave blank if not applicable) is not valid

Username:* Invalid Username

Email:* Invalid Email

Password:* Invalid Password

Password Confirmation:* Password Confirmation Doesn't Match

 

Please fix the errors above