|
|
|
Use one Form per registration. DO NOT CLICK ON "BACK". If you do, all typed information will be erased. |
|
|
Type in the Form, on screen response, (fill out all applicable blanks). | |
|
|
If you make a mistake, backspace and type again, or highlight the entire box and hit "Backspace". | |
|
|
Press "TAB" to move between blank spaces. When finished, please click on "Send it in". |
|
|
|
.
Company Representative: . |
|
|
DMS
P.O. Box 748
Lake Forest, California 92609-0748
Back To HOME PAGE
Click Back To "DMS Directories And Web Sites "
© 2006 Doctors Marketing Service