Count me in. As a member of Top Practices Mastermind Group I will receive access 
to two closed-door group meetings per month where we discuss effective practice 
marketing plans and easy ways to implement  them, access to a 3rd coaching 
meeting each month to make sure I am staying motivated to achieve my goals, 
manage priorities, and create an exceptional office environment, recorded audio 
CDs of all three meetings so I never miss a thing, one-on-one coaching time with 
Rem each month to discuss anything I choose, emails from Rem each month filled 
with examples and samples of marketing tools that are producing results plus 
resources I can use to save money and get things done quickly, unlimited email 
access to Rem, deep discounts on any products or services that Top Practices 
offers to podiatrists, and exclusivity in my area as defined by me.  All of this 
comes along with Rem's Personal Super-Strength Guarantee - so there is no risk 
to me.


FAX THIS APPLICATION TO 617-687-5346
As soon as I receive it I’ll contact to let you know if your area is available.

Date of Order ________________________________________________________

Practice/Company Name _______________________________________________

Customer Name ______________________________________________________

Contact Name ________________________________________________________

Address _____________________________________________________________

City, State, Zip ________________________________________________________

Phone _______________________________________________________________

Fax _________________________________________________________________

Alt phone ____________________________________________________________

Email _______________________________________________________________

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Your credit card will be charged $349/month unless you cancel your membership.
FAX THIS PAGE TO 617-687-5346
As soon as I receive it I’ll contact to let you know if your area is available.