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Apply for Examination
 
First name:
Last name:
 * required
Degree:
 * required
Where to ship your Certification Plaque?
Address1:
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Suite:
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City:
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State:
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Payment Information
CreditCard#:
 * required
Expiration:
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CCV:
 * required
Card Zip:
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Email address:
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The Cost for the examination is $495.00 and includes 2 trials, your certification plaque, and review of 2 cases. 
   
 

 

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