Manifestation Student Registration Form
Fill out the form carefully for registration
Student Name
*
First Name
Middle Name
Last Name
Gender
Please Select
Male
Female
N/A
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Student E-mail
*
example@example.com
Mobile Number
*
Please state who you were referred by .
I was referred by
blanks
*
.
Do you give permission for Coach Rhonda to post your picture as a newly enrolled manifestation student on her facebook and or IG page?
*
Yes
No
My Products
*
prev
next
( X )
Tier #3 Premier Access Manifestation School Tuition -- Low Monthly Payments
The Manifestation Subscription is a recurring payment. This is a monthly automatically charge. The fee will be charged to your account each month automatically. Monthly auto debit of $29.98 Subscription/Tuition plus $3 monthly processing fee. It's the Students responsibility to CANCEL. All Payments Are Non-Refundable
$
32.98
for each
month
6 Month Prepaid Tuition: The Manifestation School
Pay for classes up-front. No monthly recurring charges. 6 month prepaid tuition is $179.88 plus $12.99 processing fee. Payment is Non-Refundable. It's the students responsibility to Cancel
$
192.87
one-time payment
Tier #2 Essential Access
Partnership $30 for 3 months, $50 for 6 months , $80 for 12months. Includes everything in Tier 1 Plus 1 Free Manifestation Journal and a 5% Discount on books RhondaCulton.com
$
30.00
one-time payment
Tier #2 Payment Options
6 months Partnership
$
50.00
for each
six months
Tier #2 Payment Options
Partnership 12 months
$
80.00
one-time payment
Submit
Should be Empty: