CLX System - Signup

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Your Access You will use the email & password entered to access your account

First Name

Last Name

Email Address

Password

Your Practice Enter your practice details below for us to create your account

Name

Doctor First Name

Doctor Last Name

Address

Address 2

City

State

Zip Code

Time Zone

Phone Number

Your Supplier Account Your CLX account will be link to your distributor of choice

Supplier

AccountNumber

I Agree to the Terms and Conditions