P2S Training application
Application for PATH to SPIRIT
Name: _________________________________
Address: _______________________________
_______________________________
Phone (H): _____________________________
Phone (C): _____________________________
Phone (W): _____________________________
Email: ________________________________
Trainings: __________________
March 9-11, 2012
June 8-10
October 12-14
Terms of payment:
Deposit: __________________________
Payment plan: __________________________
Credit card: (Visa or Master)
Credit card number: _____________________
Expiration date: _____________________
Make payments to: Success Coach, Inc.
1830 Sherman Ave., #403
Evanston, IL 60201
Payment Terms: $100 non-refundable deposit (unless the weekend is cancelled), with balance due ($550) before or on the weekend. For Pilgrims whose financial situation dictates payments over time, $100 non-refundable deposit and a minimum of $100 per month until the balance is paid in full.
