Mentorship Payment Form

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This field is for validation purposes and should be left unchanged.
Mentorship Program*
Payment Option*
Train the Trainer Payment Options*
Subscription is $100/mo. and will be charged now and continue for 23 consecutive months thereafter.
Train the Trainer Mentorship Initial Payment*
Price:
Total
$0.00
Name*
Prefix First Last
Email*
Phone
Organization Name*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Why*
Expectations*
Consent*
I agree to the following program requirements if I am accepted into the program.
I Desire to Learn & I Am Willing to Be Activated
I Will Take My Attendance Seriously
(Webinars 1st & 3rd Thursdays - 6:00PM-7:00PM MST)
I Will Take Notes
I Will Participate in Open Discussion (as she leads)
I Understand This Is A One Year Commitment
I Agree to the $50.00/month Registration Fee
Consent*
I agree to the following program requirements if I am accepted into the program.
I Desire to Learn & I Am Willing to Be Activated
I Will Take My Attendance Seriously)
I Will Take Notes
I Will Participate in Open Discussion (as she leads)
I Understand This Is A Two Year Commitment
I Agree to pay subscription of $100/mo. and will be charged now and continue for 23 consecutive months thereafter.
After filling out this application, by clicking the button below you will be directed to make payment through PayPal. Your application will not be accepted until successful monthly subscription payment has been started.

501(c)(3) TAX EXEMPTION