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NLP Canada Training Intent to Register
Use this form when you are ready to register OR when you'd like to schedule a call to discuss registration.
Please note: we only take payment information by telephone. Until we receive your payment, you are not registered.
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Email
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Your email
Date
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Your answer
Name
*
Your answer
Email Address
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Your answer
Phone: (cell or best number to reach you)
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Your answer
Mailing Address: Street, City, State or Prov., Code
*
Your answer
First Day of Course
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Your answer
Course (see
nlpcanada.com
for pricing)
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NLP Practitioner
NLP Practitioner - Student/Senior/Certified by Another Institute
NLP Master Practitioner
NLP Master Practitioner - Other Institute
Payment Option
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In full, by credit card
By deposit and monthly installments
Other:
What's the best time to schedule a phone call?
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Before noon Eastern time
Between noon and 5pm Eastern time
After 5pm Eastern
Between 8 and 10pm Eastern
I'll book a telephone appointment through
calendly.com/nlpcanadatraining
Other:
A copy of your responses will be emailed to the address you provided.
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