Membership dues are listed at the bottom of this page--Click Here
Input the information below and then either print this page and mail it with a membership check to the above address, you can also call us with a credit card, or pay with the very safe online service, PayPal.
Please mail or fax (fax: 760-633-3366) the following items to complete membership:
Copy of license and malpractice insurance (if applicable)
You will be notified within 48 hours after your application is received.
Annual (Full 12 Months) Membership Dues:
Annual Membership Dues:
YOU CAN PAY ONLINE WITH PAYPAL BY CLICKING ON THE PAYPAL BUTTON NEXT TO EACH SELECTION
If you pay with PayPal, then you can fax your application to us at fax: 760 633-3366
Pay using the links above or make a check made payable to GLITSE at 378 Fulvia Street, Suite 3, Encinitas, CA 92024.
One referral is all it takes to recoup your membership dues for the entire year!
PLEASE PRINT THIS PAGE WITH YOUR PRINTER (CONTROL-P) FOR YOUR RECORDS THEN CLICK THE "SUBMIT FORM" BUTTON ABOVE TO CONTINUE