Ask-Doug Seminars, Inc.
Club-Doug Membership Registration
  Office Information:
  *Contact Name:   Example:  Chris Jones
*Business Name: Example: Smith Dental

*Address:
*City/State/Zip:
*Phone: Fax:
*E-mail Address: Example: chrisjones@smithdental.com
*Required field
  Choose your renewal membership plan:
                                    Membership          Annual
Full membership Fee Savings

Regular Monthly Renewal $79.95 $ 780.60
Enhanced Monthly Renewal $89.95 $1,020.60
Regular Quarterly Renewal $229.95 $ 820.20
Enhanced Quarterly Renewal $259.95 $1,060.20
Regular Semi-Annual Renewal $429.95 $ 880.10
Enhanced Semi-Annual Renewal $489.95 $1,120.10
Regular Annual Renewal $799.95 $ 940.05
Enhanced Annual Renewal $899.95 $1,200.05
                                    Membership          Annual
Power Boost membership Fee Savings

Regular Monthly Renewal $49.95 $ 348.60
Enhanced Monthly Renewal $59.95 $ 468.60
Regular Quarterly Renewal $139.95 $ 388.20
Enhanced Quarterly Renewal $169.95 $ 508.20
Regular Semi-Annual Renewal $269.95 $ 408.10
Enhanced Semi-Annual Renewal $329.95 $ 528.10
Regular Annual Renewal $499.95 $ 448.05
Enhanced Annual Renewal $599.95 $ 588.05
   Regular membership includes 30 days access to webinar recordings 
Enhanced membership includes 1 year access to webinar recordings
   Full membership provides access to all webinars. There are at least two webinars per month 
Power Boost membership provides access to one 30-minute Power Boost webinar per month
  Additional memberships for the same business ($9.95/month; same credit/debit card):
  Additional email: 
Additional email:
Additional email:

List additional emails below in the comments box.
  When do you want your membership to begin:
    Begin with webinars for next month 
Begin with this month's webinars, including any recordings for this month
Retroactive: Please give me access to recordings back to (name of beginning month)

(Membership fees apply to retroactive membership and access to recordings)
  Enter any promotion code you may have here:
    
  Payment information:
      Credit Card: 
Card Number: Exp: (MM/YY)
Cardholder Name:
  Address information is required only if different than above:
  Cardholder Addr:   
City/State/Zip:
  You may add any comments or requests here:
                   
  The Legal Stuff:
  - By clicking "Submit Registration", you are authorizing us to charge your credit or debit card or your bank account the 
above fees each renewal period.
- We expect you will remain a member at least 3 months. If you cancel your membership before that time, you will be charged
the regular price for the webinars & recordings you have received.
- Membership cancellations must be received by the 20th of the month, effective at the end of that month. Refunds after the
first 3 months are calculated by taking the amount paid and subtracting the Club-Doug monthly rate times number of months
subscription used. For example, someone canceling an annual membership after 9 months would be refunded the amount paid
less 9 x the monthly fee.
- After the initial registration, payments are processed around the 25th of the month just before each renewal period.
- Expiration dates on credit/debit cards are automatically extended.
- If your payment is declined, we may suspend your membership without notice at the end of the paid-for period.
- If your credit/debit card is declined, we will continue to attempt processing for several days.
- If your electronic check is declined, we will re-attempt once.
- Price guarantee: Your membership fee is guaranteed not to increase for at least the the first 12 months of your membership.
- If we have to increase the membership fee, you will be notified at least 3 months in advance of any increase.
- If you cancel your membership, you will still have access to your recording periods you have paid for.