Platinum Membership Terms: Platinum Membership (Single Payment) – $749.99 Automatic Annual Renewal of $299.99 Please check here to agree to CSSCS’s Terms and Conditions. Product Price: $749.99 Discount: Total Charge for This Transaction: Submit Order Account Information First Name: Last Name: Email: Create Password: Phone: Resident License State: Current Designations: CFP Certified Financial Planner CFA Certified Financial Analyst ChFC Chartered Financial Consultant CLU Certified Life Underwriter CLTC Certified in Long Term Care Other: Have you ever had a professional license revoked or suspended (i.e. insurance or securities license)? Yes No If ‘Yes’, please explain: Have you ever had a complaint filed against you with any regulatory body? Yes No If ‘Yes’, please explain: Have you or your company ever been refused for surety bonding? Yes No If ‘Yes’, please explain: Have you ever been charged with, plead guilty to, or been found guilty of any crime, felony or misdemeanor? This includes, but is not limited to, convictions involving dishonesty, breach of trust or violation of any federal law (i.e. embezzlement, tax fraud) Yes No If ‘Yes’, please explain: Has your employment and/or firm affiliation ever been terminated for cause? Yes No If ‘Yes’, please explain: Have you ever been involved in any bankruptcy litigation? Yes No If ‘Yes’, please explain: Are there any unsatisified judgements, liens or delinquent tax obligations against you or any business in which you were or are an owner, officer or director? Yes No If ‘Yes’, please explain: I have read the questions above and answered them to the best of my knowledge. Billing Details Credit Card: Security Code: Expiration Date: (01) Jan (02) Feb (03) Mar (04) Apr (05) May (06) Jun (07) Jul (08) Aug (09) Sep (10) Oct (11) Nov (12) Dec 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 2036 2037 2038 2039 Billing Address Address: City: State: Please select your stateAlabama Alaska American Samoa (see also separate entry under AS) Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam (see also separate entry under GU) Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands (see also separate entry MP) Ohio Oklahoma Oregon Pennsylvania Puerto Rico (see also separate entry under PR) Rhode Island South Carolina South Dakota Tennessee Texas U.S. Minor Outlying Islands (cf. separate entry UM) Utah Vermont Virgin Islands of the U.S. (see also separate entry VI) Virginia Washington West Virginia Wisconsin Wyoming Other… Zip: Country: United States Shipping Address Shipping Method: Ground Shipping ($0.00) Shipping is the same as billing Address: City: State: Please select your stateAlabama Alaska American Samoa (see also separate entry under AS) Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam (see also separate entry under GU) Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands (see also separate entry MP) Ohio Oklahoma Oregon Pennsylvania Puerto Rico (see also separate entry under PR) Rhode Island South Carolina South Dakota Tennessee Texas U.S. Minor Outlying Islands (cf. separate entry UM) Utah Vermont Virgin Islands of the U.S. (see also separate entry VI) Virginia Washington West Virginia Wisconsin Wyoming Other… Zip : Country: United States Referral Information Referral Code: Coupons Apply Coupon