Name as it appears on your card

First Name

Last Name

Phone *

(###)

###

####

Billing Address *

Include street, city, state & zip code

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Agreement *

I understand that the amount mentioned above will be deducted from my account. I also understand that the option I selected will occur automatically. I understand that there are no refunds unless the event/workshop/online service is canceled by the instructor. I also agree to electronic payment(s) and I will not be able to receive a refund. If I quit, I will have to start over, including repaying for the program if I return.