Healthy Earth Training Institute Semester Deposit

Healthy Earth Training Institute
Semester Deposit (Current or Future Semester)
Your Full Name*

First NameLast Name
Your Phone Number*

Area CodePhone Number
Your Email Address*
Last 4 of Your Social Security Number*
I understand and agree that my $500 Deposit is Non-Refundable and Non-Returnable*

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Refunds may be issued provided request is made within 24 hours of payment. Refunds are subject to a 5% ($25) Cancellation Fee.
I understand and agree with the above statement*

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Deposit

$500.00

Do You Wish to Register Now?*

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Healthy Earth Training Institute