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Registration Form
First name
Last name
Corporation Name / Group Name
Email
Phone
Number of people Attending (FOR GROUPS ONLY)
Address
Select an item ($)
*
Women's Club Session - $30
Consultation - $100
Life Coaching - $150
Health Coaching - $150
Life Coaching (Group) - $50
Health Coaching (Group) - $50
Certified Professional Life Coaching Course (Full Payment) - $1997
Certified Professional Life Coaching Course (2 Partial Payment = $2197) - $1098.50
Diamond Package (3 Months) - $435
Emerald Package (6 Months) - $855
Platinum Package (1 Year) - $1700
Enter Desired Appointment Date and Time
(Confirmation email will be sent)
Select a date
Enter Appointment time
Submit Payment
Payment Submitted
*Certified
Professional
Life Coaching Course is $1997
if full
payment made in one payment
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