Course Registration
Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Choose class date:
*
Sep 14-15, 2024 - Saturday & Sunday - NeurOptimal Basic Certification Course
Dec 7-8, 2024 - Saturday & Sunday - NeurOptimal Basic Certification Course
Are you a NeurOptimal system owner?
*
Yes
No
Please enter your name exactly as you would like it to be printed on your course completion certificate.
*
Comments/Questions:
Please complete your course registration by choosing ONE of the following payment options:
*
prev
next
( X )
Full Payment - NeurOptimal Basic Certification Course
$
660.00
Pay in full to secure your spot today! Payment for courses is nonrefundable.
Installment Plan - NeurOptimal Basic Certification Course
$
330.00
Pay a deposit of 50% of the class cost to hold your spot in the class. The remaining 50% of the class cost is due 30 days prior to the class start date; you will receive an invoice via email for the balance. This deposit is nonrefundable.
Total
$
0.00
Credit Card
Submit
Should be Empty: