EmailMe Form - WCI's Sunday Eve Monthly Motivation Group Enroll

CONTACT INFORMATION
Name *
First Last
Email *
Cell Phone *
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Other Phone
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Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
TUITION & SCHEDULE
Price
Please bill me $20.00 per month on the 1st of every month starting July 1st, 2020
Terms
I understand that: *
1. The group runs twice per month (first Sunday of the month at 7pm ET and the third Sunday of the month at 8pm ET)
2. Attendance is not mandatory
3. I can cancel anytime with no penalty
4. I agree to the terms and conditions located at www.WorldCoachInstitute.com/agreement
Follow this Link to View the 2020 Schedule
BILLING INFORMATION
Name on Card *
First Last
We accept Visa, Mastercard, Discover and AMEX
Address on Card *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Phone Number Associated with Card *
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Card Number *
Card Expiration Date
Month/Year (00/0000) *
Card Security Code *