Purchaser Information
* First Name
* Last Name
* Email Address
Company Name
* Address - Line 1	*PLEASE ENTER BILLING ADDRESS AND ZIP CODE FOR CREDIT CARD BEING USED*
Address - Line 2
* City
* State
* Zip Code
* Phone Number

Purchaser Information

***PLEASE ENTER BILLING ADDRESS AND ZIP CODE FOR CREDIT CARD BEING USED***

Practice Name

What is your firm's primary practice area?

Payment Info
Credit card
Credit Card Type	Credit Card Number 256-bit encryption	Expiration Date	Security Code

Payment Info

Credit card

Credit Card Type

Credit Card Number

256-bit encryption

Expiration Date

Security Code

Order Summary Price Quantity Total

Order Summary		Price	Quantity	Total
Great Practice Essentials Initial Deposit	$295.00	Update	$295.00
Great Practice Essentials $695.00 / month	$695.00	Update	$695.00
Subtotal			$990.00

Great Practice Essentials Initial Deposit

$295.00

Update

$295.00

Great Practice Essentials

$695.00 / month

$695.00

Update

$695.00

Subtotal $990.00

Order Summary

Subtotal $990.00

Order Summary
Subtotal	$990.00
Promo codeApply
Have a promo code?	$990Due Today

Promo codeApply

Have a promo code? $990Due Today

All payments are secured by 256-bit encryption

PROGRAM COST
Atticus Great Practice Essentails is $295 down PLUS $695/mo with a 3 month minimum committment. Your cost today is $990 ($295 setup + $695 for your first month).

By submitting this form, you hereby authorize Atticus, Inc. to charge your credit card monthly until you choose to terminate this membership. *

I agree to the terms and conditions