Autoimmunity in Women's Health Registration Form
10 weeks online course & group coaching
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
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Area Code
Phone Number
Date of Birth
-
Month
-
Day
Year
Date
Choose your enrollment date (weekly sessions - Break on Public Holidays)
*
11 Jan. 2023 to 15 Mar. 2023 / Wed. 10.30am-12pm (NZT)
Payment information - $333 NZD for the full course
Please note that your registration will be confirmed after payment is received. An email will follow with the payment instruction. A minimum of 3 participants is required for the course to go on. If this number is not attained a full refund will be processed. Full refund will be processed too if you change your mind up to the 2nd lesson, no questions asked. After the 2nd lesson, no refund will be accepted.
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I agree to process payment before the start of the course
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