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  • Personal details

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  • Business Information

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                Connect Membership
                $325.00
                  
                Elevate Membership
                $620.00
                  
                Champion
                $1,500.00
                  
                Cornerstone
                $3,500.00
                  
                Application Fee
                $20.00
                  
                Join the Medical District (PPMD)
                $100.00
                  
                Total
                $0.00

                Credit Card

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