2022 Group Order/Pay by Purchase Order Form
Simply sign-up here by completing this form and we will be in touch shortly. If you have specific questions that you need addressed before completing this form, please email yourcoach@appliedcoaching.org
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Email *
First Name *
Last Name *
Organization/School Name *
Online Courses
Our online courses are purely asynchronous for maximum flexibility unless you want some coaching! These offerings include videos, exercises, and reflection activities to complete on your own time, at your own pace. Individual registration is $75 or $150 for an added 30 minutes of personal coaching. Price is per person per course listed below. If you add on coaching, we will use Zoom to hold remote coaching sessions that can be scheduled at a convenient time for you. As we add courses, this list will grow. Group discounts may apply based on the number of participants.
Online Course *
Billing Information
In order to process your purchase properly, fill out the information below. Please note: Once purchase is made each individual will have to make their own account. This is to start the process of the number of seats your are purchasing for a particular course.
Name of Billing Contact for Invoice *
Email of Billing Contact for Invoice *
Phone Number of Billing Contact *
How will you be paying? *
If a purchase order is required, please include the number here *
If you have a coupon code, enter it below
Number of participants you are paying for? (It is okay if it is an estimate right now, we will confirm final details) *
I have read and I accept the cancellation policy: *Refunds requested within 48 hours of registering will be honored minus a $15 cancellation fee. *There is a $15 processing fee for all transfers. *A missed learning experience is non-refundable and non-transferrable. This also includes coaching sessions. If the meeting has been set and missed by the participant, it can not be rescheduled. *
Thank you for your registration!
We'll be in touch shortly! Please contact yourcoach@appliedcoaching.org if you need further assistance.
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