TAX DISCHARGE COURSE ENROLLMENT
COURSE - BOOK - MENTORING - CASE UPDATE
Date This Form Filled-in
-
Month
-
Day
Year
1. My professional status is:
Attorney
Paralegal with law firm
Professor or other academic
Judge
Student
Other status
1b Describe your other status:
2. Enrollee name is
First Name
Last Name
3. Enrollee Email
example@example.com
4. Person viewing will be:
ENROLLEE NAMED ABOVE OR
OTHER PERSON
4a NAMES AND E-MAIL ADDRESSES of other persons viewing:
5. E-MAIL ADDRESS OF ENROLLEE VIEWING
6. KEY CONTACT FOR PERSON ENROLLING Phone Number
Please enter a valid phone number.
6b. IF OTHER THAN CREDIT CARD ADDRESS NAME, OF PERSON VIEWING and Street City State zip
7. ENROLL ME IN (good through Nov. 22):
7.5 hr COURSE ONLY $ 99.99
7.5 hr COURSE + BOOK $ 199.99
THE e-BOOK BY ITSELF ONLY $ 99.99
THE COURSE INCLUDES:
The 7.5 hour recorded video course $ 99.99
Includes appendix materials
Optional COMBO order add King's book, Discharging Taxes in Consumer Bankruptcy Cases $ 199.99
7b. DISCUSS IF OTHER PRODUCT BEING INQUIRED ABOUT
8a. CARD TYPE:
VISA
MASTERCARD
DISCOVER
AMERICAN EXPRESS
OTHER
NOTE: OUR REQUEST FOR REPEAT OF CARD NUMBERS IS A SECURITY PRECAUTION.
10. I HAVE DOUBLE-CHECKED THAT I HAVE ENTERED ALL REQUESTED INFO AND NUMBERS ABOVE
DONE
11. Please verify that you are human
*
12. Signature
Submit
Should be Empty: