Redirecting you to a secure payment pageā€¦
Professional Membership Sign-Up
1
{{pageTitles[currentPage-1]}}

Please select the term and delivery method for your On the Level magazine. There is an additional fee for shipping outside the US.

2
{{pageTitles[currentPage-1]}}

Contact information on this page is for billing and communication purposes. Only your name will be used for your directory profile.

3
{{pageTitles[currentPage-1]}}

Enter the name of the organization that licenses professionals in your field and region. Multiple entries are allowed, separated by commas. If your profession does not require a license in your region, simply enter "Not applicable".

Optionally, also enter your license number if you know it, or other information that could help identify your public license, e.g. the name it's listed under if different from your preferred name.

4
{{pageTitles[currentPage-1]}}

All information provided on this page will be published as part of your listing in VeDA's healthcare directory.

Either a physical clinic address or at least one telemedicine region must be selected or your listing cannot be published.

You will be able to make changes at any time.

5
{{pageTitles[currentPage-1]}}

Include a submember in your membership registration

6
{{pageTitles[currentPage-1]}}
7
{{pageTitles[currentPage-1]}}
{{item}}
{{membershipCostInvalidMessage}}
{{ installmentDes }}
{{item}}
{{item}}
   Secure Payment
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
{{item}}
{{item}}
{{item}}
{{item}}
{{item}}
{{item}}
{{item}}
{{item}}
{{item}}
{{item}}
{{item}}
{{item}}
{{item}}
{{item}}
{{item}}
{{item}}

{{item}}
   Secure Payment
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
{{item}}
{{item}}
{{item}}
   Secure Payment
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
{{item}}
{{item}}
{{item}}
{{item}}
{{item}}
{{item}}
{{item}}
{{item}}
{{item}}
{{item}}
{{item}}
{{item}}
{{item}}
{{item}}
{{item}}
{{item}}
{{item}}
Region not available? Email membership@vestibular.org
{{item}}
   Secure Payment
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
{{subMemberDisplayName}} {{index+1}}: {{getSubMemberName(index)}}
Choose Existing Contact(s)
{{item}}
{{formData.subMembers[index].membershipCostInvalidMessage}}
{{ subInstallmentDes[index] }}
{{item}}
{{item}}
{{item}}
{{item}}
{{item}}
{{item}}
{{item}}
{{item}}
{{item}}
{{item}}
{{item}}
{{smIndex+1}}
{{sm.contactName.toUpperCase()}}
Add {{subMemberDisplayName}}
{{item}}
   Secure Payment
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
{{orderSummary.membershipOrderItem.termName}}
{{orderSummary.membershipOrderItem.startDate}} - {{orderSummary.membershipOrderItem.endDate}}
{{orderSummary.membershipsTotal==0?'Free':formatAmount(orderSummary.membershipsTotal)}}
Membership auto-renews monthly for {{ formatAutoRenewAmount(orderSummary.membershipOrderItem.membershipInstallment.cost) }} until {{ orderSummary.membershipOrderItem.membershipInstallment.endDate }}
Membership auto-renews on {{orderSummary.membershipOrderItem.membershipAutoRenew.renewDate}} for {{formatAutoRenewAmount(orderSummary.membershipOrderItem.membershipAutoRenew.cost)}}
1
{{orderSummary.membershipOrderItem.userName}}
{{orderSummary.membershipOrderItem.cost==0?'Free':formatAmount(orderSummary.membershipOrderItem.cost)}} {{orderSummary.membershipOrderItem.termName}}
{{orderSummary.membershipOrderItem.startDate}} - {{orderSummary.membershipOrderItem.endDate}}
Membership auto-renews monthly for {{ formatAutoRenewAmount(orderSummary.membershipOrderItem.membershipInstallment.cost) }} until {{ orderSummary.membershipOrderItem.membershipInstallment.endDate }}
Membership auto-renews on {{orderSummary.membershipOrderItem.membershipAutoRenew.renewDate}} for {{formatAutoRenewAmount(orderSummary.membershipOrderItem.membershipAutoRenew.cost)}}
{{orderSummary.membershipOrderItem!=null?smIndex+2:smIndex+1}}
{{sm.userName}} ({{subMemberDisplayName}})
{{sm.cost==0?'Free':formatAmount(sm.cost)}} {{sm.termName}}
{{sm.startDate}} - {{sm.endDate}}
Membership auto-renews monthly for {{ formatAutoRenewAmount(sm.membershipInstallment.cost) }} until {{ sm.membershipInstallment.endDate }}
Membership auto-renews on {{sm.membershipAutoRenew.renewDate}} for {{formatAutoRenewAmount(sm.membershipAutoRenew.cost)}}
{{this.formCurrency.sign}}
{{addonDonationLabel}}
{{formatAmount(orderSummary.donationAmount)}}
Frequency selected: {{recurringUnitText}}. Next add-on payment processes on {{orderSummary.recurringDonationNextDate}} for {{formatAmount(orderSummary.donationAmount)}}

Discount Code

{{item}}
 Code:
-{{formatAmount(orderSummary.codeDiscount)}}

Order summary

Subtotal {{formatAmount(orderSummary.subtotal)}}
Discounts -{{formatAmount(orderSummary.discounts)}}
Total {{formatAmount(orderSummary.total)}}
{{item}}
   Secure Payment
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Card
{{achName}}
or enter your card details below
{{item}}
{{item}}
{{item}}
{{item}}
Payment Form Unable to Load: Your payment form is blocked by a firewall. This is most commonly due to use of an anonymous, untrusted IP address. If you are using a VPN to anonymize your IP, we recommend connecting through your local IP to complete your payment.
{{item}}
{{item}}
{{item}}
{{item}}
{{item}}
{{item}}
{{ccfpInfo.notInGoodMessage || ''}}
{{ccfpInfo.notInGoodMessage || ''}}
{{item}}
{{formatAmount(totalAmount)}} USD
{{cardTotalAmountIncludeFeeList}}
   Secure Payment
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.