Please complete the form below and click submit at the end of the form. You will be sent a confirmation e-mail. Thank you!
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After submitting the form above, please proceed to make your payment selecting one of the following options:
- Yes! Please charge my credit card and accept my Platinum application today for the annual membership of $12,000.
- Yes! Please charge my credit card and accept my Platinum application today for the simple installment plan with 12 payments of $1,097. I understand my credit card will be charged $1,097 today and in each of the next 11 months.
- Yes! Please charge my credit card and accept my Gold application today for the annual membership of $9,000.
- Yes! Pleasecharge my credit card and accept my Gold application today for the simple installment plan with 12 payments of $797. I understand my credit card will be charged $797 today and in each of the next 11 months.