Conference Registration Form with Payment PayPal Standard

12 Week Challenge and Class

Please book for your class by filling the form below, specify the expected number joining the conference.
Full Name*

First NameLast Name
E-mail*
example@example.com
Phone Number*
Format: (000) 000-0000.
Number of people attending*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Note: Payments are processed through PayPal. You may pay using an existing PayPal account, or any major credit card / debit card.
BIC/ A Kingdom Health Transformation

Class begins March 24, 2024 Virtually
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A Kingdom Health Transformation course and coachimng
Our weekly course and coaching will help you experience true freedom in your health, weight, energy, and overall well-being.

$25.00 for each week
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12 Week Challenge and Class