Patronship & HPx Program Registration FHCi

Free and Healthy Children International Patronship & HPx Program Registration

By completing this registration with FHCi I affirm: I am voluntarily registering as a Patron of FHCi on behalf of myself, my spouse or partner and/or my dependents without any pressure or promise of cure of disease or disease prevention. I affirm that I do not represent any State or Federal agency whose purpose is to regulate and approve products. I affirm that if I do belong to any media outlet I will not misrepresent any information regarding homeopathy or homeoprophylaxis. I affirm that I will not carry out any mission of entrapment or investigation.
Signature*

Clear
Name*

First NameLast Name
Email*
example@example.com
Phone (Country code for USA & Canada +1) *

Country CodeArea CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
FHCi HPx Supervisor/Practitioner's Name*

First NameLast Name
Your FHCi HPx Practitioner's Email*
example@example.com
If you are ready to select one or more HPx Programs* for yourself or immediate family members you may register/purchase them below. These fees enable FHCi to bring you these programs and maintain our research data base. You are investing in a healthier future for all. Thank you!

* An HPx Program is a sequential dosing series targeted for specific age groups and their immune system maturation to be taken over several weeks to months.

*The Single Disease HPx is for current out breaks of infectious disease regardless of age.
FHCi HPx Program fee is per person, except the Patron Registration and the Full Childhood HPx Program:*
prevnext( X )
Patron Registrationpay for only 1 registration per family
$45.00 Quantity



1. Healthy Biome HPx ProgramAll ages; 9 weeks
$15.00 Quantity



2. Full Childhood Immunological HPx ProgramPay for only 1 per family; infant to 18yers of age; 50 months
$15.00 Quantity



3. Young Adult and College Prep HPx Program17-25 years of age; 6 or 12 months
$15.00 Quantity



4. Travel HPx ProgramAll ages; 5-15 weeks
$15.00 Quantity



5. Healthy Sexuality and Pre-Procreation HPx ProgramAges 16-35; 7 or 14 months
$15.00 Quantity



6. Healthy Pregnancy and Fetal Development HPx ProgramBefore conception through pregnancy; 7 months
$15.00 Quantity



7. Immune Health for Elders HPx Program55 years and older; 6 months
$15.00 Quantity



8. Single disease prevention/treatment with HPxAll ages; 2-5 weeks. Choose this for current disease outbreaks
$15.00 Quantity



Total

$0.00
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Free and Healthy Children International Patronship & HPx Program Registration