TMR TOTS - Enrollment Form - Please fill
Please use this form ONLY When You Have Purchased TOTS COURSES (TOTS-1, TOTS-2, TOTS-3)
***** For Preview Of Pre-recorded Videos, please email Susan at - tmrtots@gmail.com
Once it gets approved by Susan, you can take the Pre-recorded course
Full Name with credentials
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First Name
Last Name
Credentials
Email (please try to use the email registered with us)
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Cell # (Please give the correct one so that we can help you during the course)
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Which TOTS Package Purchased? (TOTS-1, TOTS-2, TOTS-3, All 3 TOTS Seminar Package, TOTS-1 & TOTS-2 Combined Package, Student Package, Parent Package etc)
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Date when purchased ? (In case you cannot remember, then please at least put the year of purchase)
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Seminar Level You Want To Enroll: (TOTS-1/TOTS-2/TOTS-3)
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Seminar Date? Only for Live-onsite/Live-online courses. (If you want to take Pre-Recorded Course for Review, please email Susan at - tmrtots@gmail.com)
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April 17-18, 2021
For Live-onsite, please put seminar City & State. For Live-Online, please mention Live-online.
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Professional Lic # and State
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State
Lic #
Your Shipping Address : Please only Put City & State
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Your City
Your State
In case someone else has purchased the course for you, please fill in this box with all the information of the buyer (full name, email, cell #, date when purchased)
Submit
Should be Empty: