Please complete the form below, all field name's followed by a
indicate that an input is required. Once completed, please select the 'Submit Registration' button.
Terms and Conditions
I understand and agree that I may not share my member's area login details with anyone else. These details are for my personal use only and I understand if I share them that I will lose my membership.
I also understand that all the content on this web site is copyrighted and copying of such material will result in prosecution to the fullest extent of the law.
<-- Tick to agree to above conditions
Please enter your details below so we may create an account for you.
Please enter your desired username. You will use this when logging in to our member's area(s). Usernames must be between 7 and 64 characters in length and should consist of letters and numbers only.
Please enter your desired password. You will use this when logging in to our member's area(s). Passwords must be between 7 and 128 characters in length and should consist of letters and numbers only.
Please confirm the password you entered above.
Please enter your email address. Please make sure it is correct or you will not receive your login information for our member's area(s).
Please enter your first name.
Please enter your last name.
If you have a coupon or discount code, please enter it here. Your registration will be discounted as appropriate on checkout.
Your contact information is required in case we need to send you a certificate.
Please enter number and street address & suite number if applicable.
Please enter your city.
State or Province:
Please enter your state, province or territory.
Zip (Postal) Code:
Please enter your Zip or Postal code.
Please enter your country name
Please provide a personal phone number in case we ever need to reach you or call you back for a support issue.
Private Practice Information
If you are part of a private practice, please provide additional information.
Position in Practice:
Administrative Team Member
Clinical Team Member
Clinical & Admin Team Member
Please tell us your position in the practice.
Private Practice Details
This section requests additional information regarding your practice.
Practice Phone Number:
The best contact phone number for your practice including area code (f.e. 888-888-8888). For international users please include your country code (f.e. +88-88-888-8888).
Practice Website URL:
Please enter your practice website address such as www.mypractice.com.
Please enter the type of dental practice in which you work.
How did you hear about us?:
Please tell us how you heard about ITI Courses.
Your Account Supervisors
Identify Supervisors for your account.
Supervisor User ID:
If you are supervised by another ITI User (such as your employer orthodontist, school faculty, practice trainer) please enter the Username of that individual so he/she may set your Knowledge Profile and obtain reports on your performance. Separate Supervisor Usernames with a comma. A Supervisor Username may be added to your account later.
The following subscription options are available:
1 year $99
1 year membership plan (less than $17/month)
2 years $199
2 years membership plan
1 year $99
2 years $199
Please select a subscription type, further information regarding the subscriptions choices is shown above.