On Line Mentorship 2021/22

Student Registration Form

Fill out the form carefully for registration
Student Name

First Name Middle Name Last Name
Birth Date

Month Day Year
Gender
Student E-mail
example@example.com
Mobile Number
Additional Comments
My Products
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Deposit On Line Mentorship 2021/22Please complete the form or email your experience so I know which group to add you too. Deposits are non refundable
£150.00



Balance On Line MentorshipBalance Payment is due on 1st November 2021 If you cannot pay in full please visit the website www.tjhiggs.com and use the payl8r service. This is an affordable way of paying your balance.
£300.00



On Line Mentorship Please complete the form and if you are new to TJ please use the comments section to let us know your development so far.
£450.00



Balance Payment Please use this to pay off the monthly balance if you cannot do it all at once.
£100.00



Total

£0.00

Payment Methods

Debit or Credit Card

First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Please click one of the PayPal options to complete payment and submit the form.

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