EC-1 Trial Registration

EC-1 Trial Registration

Champion team Midwest EC
Agent Name*
Agent ID*
Your current level*
Will your spouse attend?*

YesNo
Spouse Name*
Spouse Agent ID
Your SMD*
If you are already SMD and above, please choose yourself as your SMD.
Your CEO*
Referral EC cadet name*

First NameLast Name
Referral EC cadet agent ID*
Your E-mail*
example@example.com
Please make sure your email is correct. You should receive a confirmation email.
I acknowledge that this is a registration for a one time trial class. I can only attend one class in EC-1 as a trial class.
New Registration *
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EC-1 Trial class Registration$50.00

Total $0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.