Registration for Certified Coach Training

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Use this form for both Option 1 and Option2

Email *

Name *

Address, city, state and zip *

Home or office #

Cell: *

Occupation *

What would you like to gain from this course? *

Whr referred you to this course? Please provide name and cell phone number.

Please enroll me in: *

Option A, 20 week hybrid course (Diploma)

Option A and B 75 hours+ (Certification)

Upon submitting this form you will receive an invoice. Please note: if paying by credit or debit card there is a 3% surcharge. Please check the box that applies to you. *

Option 1: full payment using zelle, check or cash in the amount of $2700.

Option 1: Full payment using credit or debit card in the amount of $2780.

Option 1: 6 month payment plan using zelle, check or cash in the amount of $450.

Option 1: 6 month payment plan using credit or debit card in the amount of $463.

Option 2: 1 full payment using zelle, check or cash in the amount of $3645.

Option 2: 1 full payment using a credit or debit card in the amount of $3754.

Option 2: 9 month payment plan using zelle, check or cash in the amount of $405.

Option 2: 9 month payment plan using a credit or debit card in the amount of $412.

If paying by credit or debit card we require a signed Card Authorization form. Please click on this link and email to info @cfcalt.com or fax to 732-343-7054

file:///C:/Users/rabbi/OneDrive/AuthorizationFormV2.pdf

Yes. I signed and sent the form in to CFCALT.

I am not paying by Credit or Debit Card.

Other:

I understand that registration is considered complete after I submit the first payment and that all payments are automatically recurring. Refund policy: If for any reason you decide to drop out of the course you will be refunded based on pro-rating besides for a $100 non-refundable registration fee. *

I agree to the terms.

A copy of your responses will be emailed to the address you provided.

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