ECT Program Booking

ECT Program Booking Form

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date
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location
For bookings of 3 or more people, please contact our office on 0421 075 175 and Fiona will assist with your booking.
Attendee 1 Name*
Preferred Name
First Last
Attendee 1 Phone*
We need this to get in touch! (No spaces please)
Attendee 1 Email*
We need this to send you correspondance!
Enter Email Confirm Email
Address
Street Address City State Postcode
Seminar Price
Price:
Would you like to book in for an additional person?
Please note to book more than 2 people in total, please call us.
- No
- Yes
Attendee 2 Name*
Preferred Name
First Last
Attendee 2 Phone*
We need this to get in touch!
Attendee 2 Email*
We need this to send you correspondance! Please use a different email address to attendee 1 so you both get access to our weight tracker app!
Enter Email Confirm Email
Use the same address as attendee 1
- Yes
- No
Attendee 2 Address
Street Address City State Postcode
Live Online Etiquette*
Please use your real name - no aliases.
Your camera needs to be on and your face clearly visible.
You need to be in a private setting so James can speak freely and have an assurance that only those on the zoom call (in attendance) can hear the meeting.
Please ensure you have a headset or ear buds in so background noise is kept to a minimum.
I agree
Additional Person Seminar Price
Price:
Seminar Details*
Total
$ 0.00
On submitting you will be redirected to eway for payment. On payment approval a booking confirmation email will be sent.

It's Not Optional... It's Mandatory!

ECT Program Booking

ECT Program Booking Form

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