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REGISTRATION - Dental /Physician
No Charge Membership

with access to Mediation , Arbitration & Legal Counsel procedures.
( We assist you in evaluating the pros and cons of each )

Please complete the following fields with *


Picture in Profile Page File:

Select a Login Name *:
First Name *:
Last Name *:
Gender *:
Date of Birth:
E-mail *:
Web address/Home Page:

Address *:  
City *:
State *:
Postal Code *:
Profession category*:
Member of Professionial Organization*:
Holds Professionial Insurance YES (and Name)/NO* :
Phone ( only numbers)*:
Describe Your Occupation*:  
Your Computer IP number:
(For security reasons)


e-Court USA will negotiate "lower" premiums with your malpractice insurance provider.
You shall be entitled to display the member vignette on your letter heading and website


e-court.us Legal Services International LLC. Wilmington, Delaware USA
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