My CLTC Assistant™ - Subscribe

To subscribe online, enter all required fields denoted by * and click the Subscribe button when complete.
You will be charged $49.95 per month for your subscription. By completing this form, you authorize My CLTC Assistant to bill your credit card account monthly for this amount.
A confirmation will be sent to the e-mail address entered on this form.

Personal Information
* First Name
* Last Name
* Billing Address
* City
* State
* Zip
* Phone
Fax
A confirmation page with registration details will be sent to your e-mail address and alternate e-mail address if it is provided.
Your e-mail address will be your user name for entry into the site.
* E-mail Address
* Password
*Re-enter Password

CLTC Graduates
If you are a CLTC Graduate in good standing, please enter your information below. To qualify for discounted pricing, you will need to enter your course registration number that can be found inside your course book.
CLTC Course Registration ID
Discount Code

Payment Information
* Credit Card Type
* Credit Card #
* Exp. Date


(Please click the above button only once to allow your information to process)