E/M for Surgical Practices Course E/M for Surgical Practices Course Non-member access Price: $375 for 1 year First Name:* First Name Required Last Name:* Last Name Required Company Name:* Company Name is Required Phone Number:* Phone Number is Required Address line 1:* Address line 1 is Required Address line 2: Address line 2 is not valid City:* City is Required State:* State is Required Zip Code:* Zip Code is Required Email:* Invalid Email Password:* Invalid Password Password Confirmation:* Password Confirmation Doesn't Match * Have a coupon? Coupon Code: Invalid Coupon Description Amount E/M for Surgical Practices Course – Initial Payment $375.00 Total $375.00 Select Payment Method Stripe - Credit Card Invoice - Pay by check Name on the card:* Name on the card is required. Credit Card:* Javascript is disabled in your browser. You will not be able to complete your purchase until you either enable JavaScript in your browser, or switch to a browser that supports it. If you select this option, your membership will not become active until payment is received. No val Please fix the errors above