NLP Training Enrolment Form Early Bird

Transcription

1 NLP Training Enrolment Form Early Bird Personal Details #Full Name Street Address Suburb Contact phone Postcode Mobile Referred By #This is the name that that will be included on any certificates. Select Course and Dates: Indicate your preference with LEVEL TWO - Dates NLP Master Practitioner Training Venue - Alvie Hall, Cnr High Street Rd & Alvie Road, Mount Waverley 3-5 March, March, 31 March and 1-2 April 2016 NLP Master Practitioner Training $3,175 Normal Price $3,475 Discount $300 From $240* per month *See payment plans, page 2 Early Bird available until 20 December 2015 Page 1 of 6

2 Training Courses Payment Plan Options Master Practitioner Training in 2016 Plan Total Fee Deposit Monthly Repayment Paid in Full($100 Disc) $3,075 $500 Final Payment $2,575 before 3 Feb months $3,175 $535 $ months $3,175 $295 $240 Page 2 of 6

3 Pay by Credit Card or Bank Transfer PLEASE COMPLETE CREDIT CARD PAYMENT BOX Complete only for DEPOSIT with PAYMENT PLANS Non refundable deposit Please circle the deposit amount that applies to the selected payment plan $500 $535 $295 (Note that the deposit amount is payable on day of submission) Payment Plan Payments Please circle the Repayments amount that applies to the selected payment plan $2,575 $490 $265 Please supply credit card details or do Bank Transfer for both Deposit and Payment Plan Payments: Mastercard/Visa (please circle) Sorry, Amex not accepted or Bank Transfer (please circle) Bank: Commonwealth Bank Expiry Date: / CCV: (3 digits on back of card) BSB: Branch: Name on card: Desc: NLP and {your name} Amount: Early bird of Full amt Signature: NOTE: Monthly payments are charged on the first calendar day of each month. Pay in Full Final Payment will be charged one month before NLP Master Training Start Date. Please refer to the Payment Plan terms for further details. Check the Boxes Indicate what has been completed with I have read Training Terms and Conditions Payment Plan Terms have been decided Please accept my deposit for processing (if applicable) I require a Receipt by or Post Post Page 3 of 6

4 Credit Card Authorisation I authorise Empowering Spirit Pty Ltd, trading as NLP Train Coach to charge my credit card for payment of NLP Train Coach Training. If NLP Train Coach is unable to process any of my payments I will be responsible for an alternative payment arrangement and any resulting processing fees. is owned by Empowering Spirit Pty Ltd. By signing this authorisation, I acknowledge that I have read and agree to the Terms and Conditions and where appropriate the Payment Plan Agreement Terms for NLP Train Coach Training and agree to all of the above information and warrant all information given is true. Signature: Printed Name: DATE: / / Page 4 of 6

5 Payment Plan Terms: 1. Payment in full is required by the nominated term end date as stated in the payment schedule. 2. Failed credit card payments towards a Payment Plan will be charged a $10 Account Keeping Fee to cover follow up costs. It is then the responsibility of the customer to arrange an alternative payment method for the failed payment. 3. Payment by Bank Transfer is expected to reach the account of NLP Train Coach / Empowering Spirit Pty Ltd by 1 st day of the payment month. Any delay may require you to provide a credit card as alternative payment method. 4. Accounts referred to a Collection Agency or Solicitor will have all legal costs and commission added to the amount due. 5. The customer covenants that the information provided in this application is true and correct. 6. Customers with a Payment Plan Agreement may only receive Affiliate Program Commissions as a deduction towards their total outstanding invoice, as per the Affiliate Program Agreement. 7. Should a customer fall behind with their payments, NLP Train Coach reserves the right to release their place in the nominated course until payments are up to date. NLP Train Coach will hold any payments already made and seek to place the customer in a later course until the full fees have been paid. 8. Enrolment cancellation notification must be submitted in writing and a cancellation charge will be invoiced to the customer in accordance with Cancellation Terms and Conditions as outlined below. The existing payment agreement will be terminated and replaced with the cancellation policy. Outstanding payment will then be required within 14 days of the cancellation invoice being issued. Cancellation terms and conditions: If you choose to cancel your enrolment for any reason other than within the cooling off period identified in Paragraph 2, you will receive a credit for the total amount you have paid less the value of any products received with your enrolment as listed in Paragraph 2 and your deposit. Credits may not be claimed as refunds but may be applied towards an enrolment in any other seminar offered by NLP Train Coach. Cancellation Summary Cancellation within the following time periods will incur a cancellation charge: Cancellation within 5 days of enrolment: Loss of deposit and cost of materials received. Cancellation within 30 days of enrolment: 50% of total agreed course package cost Cancellation 30 days after enrolment: Full course payment charged All cancellations must be submitted in writing to NLP Train Coach Office. Once notification of cancellation has been received, an invoice will be forwarded to you for immediate payment with 14 days. This cancellation policy replaces any payment plan agreement or otherwise. Page 5 of 6

6 To Submit Your Registration Form: 1. EXPRESS REGISTRATION: Phone David Donahoo on This will guarantee that you reserve your place. Then send the completed registration form with either option 2 or 3 below. 2. Or your Scanned completed form to: enquiry@nlptraincoach.com 3. Or POST your completed form to: David Donahoo, Communication Coach and Trainer c/o Empowering Spirit Ltd, 5 Maple Court, Doncaster, Victoria Australia PLEASE NOTE: Registrations are not automatically accepted until fully completed registration forms are received by Empowering Spirit Pty Ltd and full payment or deposit has been paid. Upon acceptance, enrolled students are immediately notified by mail and that their application has been accepted and processed. Page 6 of 6