TMR TOTS Independent Self Study - Enrollment Form - Please fill
Please use this form ONLY When You Have Purchased TOTS COURSES (TOTS-1 Homestudy/ TOTS-2 Homestudy or Combo)
Your Full Name with credentials
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First Name
Last Name
Credentials
Your Email (please try to use the email registered with us)
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Your Cell # (Please give the correct one so that we can help you during the course)
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Which TOTS Package Purchased? (TOTS-1 Independent Self-Study/ TOTS-2 Independent Self-Study / Combo Package - TOTS-1 & TOTS-2)
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Date when purchased ? (In case you cannot remember, then please at least put the year of purchase)
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Independent Self-Study Course Level You Want To Start: (TOTS-1/TOTS-2)
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Date you plan to Start the Independent Self-Study Course (Please allow us 24-48 hours to activate the course)
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April 17-18, 2021
Your Professional Lic # and State
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State
Lic #
Your Shipping Address : Please only Put City & State
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Your City
Your State
In case someone else has purchased the course for you, please fill in this box with all the information of the buyer (full name, email, cell #, date when purchased)
Submit
Should be Empty: