MC Book Compilation Project Form
Fill out the form carefully for registration
Certified Manifestation Coach Name
*
First Name
Middle Name
Last Name
Birth Date
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
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5
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31
Day
Please select a year
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
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2004
2003
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1971
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1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Student E-mail
example@example.com
Mobile Number
Do you give permission for Coach Rhonda to post your picture and information about this project
*
Yes
No
Are you ready to put in the work necessary to produce a great book?
*
Yes
No
Submit Application
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Manifestation Coach Registration Fee
1.25 as been add as the credit card fee.The registration fee must be paid seperately. Pay by June 5th 2024
$
50.25
Pay in Full including Registration Fee / plus tranaction fee
$299. 00 plus processing fee of $15.00 has been added
$
315.00
1st Installment
1st installment $99-- includes $5 processing fee Pay by June 30th
$
104.00
Quantity
1
2
3
4
5
6
7
8
9
10
2nd Installment
2nd Installment Must be paid by July 30th-- includes $5 processing fee
$
104.00
Quantity
1
2
3
4
5
6
7
8
9
10
3rd Installment
3rd installment $99- Due by July 15th Includes the $5 processing fee
$
104.00
Quantity
1
2
3
4
5
6
7
8
9
10
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
Should be Empty: