Thank you for submitting your practice.

If you have supplied all requested information you will hear from us soon after making payment. If you do not hear from us within 48 hours, you may have supplied an incorrect Email address. If your Email address cannot be confirmed your name will be removed from the database.

Each doctor or additional office address requires separate subscriptions. To add additional listings, use the Back button on your browser and change the form as needed. When finished, pay for all the listings at one time.


Step 2 - Payment - choose one option
Ortho-K.NET website only $35.00 annually

Pay for your 2011 listing here. Valid until December 31, 2011 for only $35.00.

Options
Official PayPal Seal
Click on one of the above options for secure payment. Pay for your annual membership on PayPal's secure website using your own credit card. If you don't have a PayPal account, the signup process is very fast and easy.

 

Free Photo Listing Add your picture. ** Make payment above before continuing**

Click Here for sample photo listing. Send your photo now. [ .jpg or .gif only ]
Maximum file size = 100k.

 
1. Select picture on your computer
 
2. Enter your full name (for ID):
3.

© 2011 Ortho-K.net