Administrative – Colorado Neurological Society

For administrators of neurology practices

Name:

First Name Required Last Name Required

Medical Degree (to choose multiple, hold the CTRL key down while selecting): Medical Degree (to choose multiple, hold the CTRL key down while selecting) is not valid

Name of Practice: Name of Practice is not valid

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Select Payment Method

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Pay Colorado Neurological Society

$50 for 1 Year

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	Administrative – Payment $50 for 1 Year	$50.00
	Total	$50.00

Administrative – Payment

$50 for 1 Year

$50.00

Total

$50.00