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1000 Lake St. Louis Blvd. #200, Lake St. Louis,MO 63367
877-HireCoach (447-3262) fax: 636-561-5042
darrelor Patt@HireCoach.com www.HireCoach.org
AMOUNT PAID: ___________________________ |
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Coaching &MENTORING:
Business & Personal
MARK THE MODULE(S) for which YOU ARE MAKING PAYMENT |
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DATES |
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Module I ESW755 ESW455 |
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Module II ESW756 ESW456 |
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Module III ESW757 ESW457
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This workshop is a cumulative learning experience and intended to be taken as a whole. The division of the workshop into three modules, facilitates the award of college course credits in units of three credit hours. Each module should be taken in sequence. HireCoach recommends completing the training without interruption. Participants may, however, register and pay for each module separately. |
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Ø Total workshop fees do not include a $60 per credit hour special tuition fee for Lindenwood University graduate/undergraduate education credit. |
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Ø All registrations must be prepaid. |
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SELECT PAYMENT METHOD |
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Check or Money order by mail
(Checks payable to HireCoach) |
Purchase order by mail
(attach copy) |
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Check by phone |
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Credit card by mail |
MC (16 digits)
Visa (13-16 digits)
Discover (16 digits |
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Credit card by phone/fax |
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Card expiration: |
Card number |
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Signature |
V-CODE # |
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Date |
(last three digits on signature panel on back of card.) |
