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Complete this form to join a Coaching Workshop.

The fields marked with an asterisks (*) are required. However, we recommend that you take the time to complete the whole form. The more complete the information you provide here, the better we can serve you in your workshop.

Coaching Workshop
*Select the coaching workshop you want to join:
Information About You
*First name:
*Last name:
Date of birth: (mm/dd/yyyy)
 
Male Female
Your Address
Address Line 1:
Address Line 2:
City:
State: (SS)
Zip code: (XXXXX-XXXX)
Contact Information
Home Phone:
Daytime Phone:
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*Email:
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Best way to contact:
How Did You Hear About Us?
Friend
Physician or Fertility Specialist
 
Name of Physician:
Name of Clinic:
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Where?
Internet
 
Where?
Other
 
Where?
Coaching Information
What are your expectations for this workshop?
Do you have specific needs or concerns that you are looking to have addressed in this coaching workshop? If so, please explain.

By submitting this request you are fully agreeing to this disclaimer and to the costs and terms associated with your selected Coaching Group.

 

Workshops cost $29 per workshop.

If after your workshop you are not satisfied for any reason, we will provide a full refund.

Register for a workshop. Register online for a workshop.
Receive an invoice. You will receive an email invoice for the cost of the workshop.
Make payment. Click on the Payment Button in the email invoice to connect to a secure payment page. Make payment via Visa, MasterCard, American Express, Discover, eCheck, or a PayPal balance payment.
Call into the workshop at the appointed time. Make the call into your workshop a minute or two before it starts. If the workshop includes a live web component, you can log into the web meeting at this time as well.
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