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What's Next? Workshop Registration
For graduates of the "Personal Planning" Workshop

At the bottom of this form, you may choose to pay your workshop registration by credit card. We feel that our server is safe for online transactions, and our policy is to only retain your credit card number until the transaction has cleared. However we understand that not everybody is comfortable with electronic commerce. If this is the case, you may call in your billing information separately at (805) 682-8712. Privacy Policy.

Required fields are shown in red.


First Name:

Email Address:

Last Name:

Web Site URL:

Company Name:

   

Billing Address:

Home Address:

 

City:

City:

State:

Zip:

State:

Zip:

Country:

Country:

Billing Phone:

Your Home Phone:

Fax:

Mobile Phone:


Please complete the following questions to the best of your ability. Your answers will be forwarded directly to Clay Nelson prior to the weekend.

1. Location of your first "Personal Planning" Workshop

2. Date of your first "Personal Planning" Workshop

3. Describe your challenge for the "What's Next" Workshop:

4. In the past what has stopped you? This is not always the easiest to state and often a place of denial. We will get past the "stop" and into action. Describe what you think has stopped you before:

5. Is there anything else you want to communicate?


Which workshop are you interested in attending? Select a date and location.

TBA

 

Pepper Tree Inn
3850 State Street
Santa Barbara, CA
Ph: 805-687-5511

Complimentary shuttle to and from the airport is available.


How did you learn of Clay Nelson Life Balance™? Who referred you?



Choose a payment option:

Tuition for the "What's Next" Workshop is $3375.00.
"What's Next" Workshop may be repeated for $2000.00.

Current Clients, Please Note: If you currently are a Clay Nelson Life Balance™ coaching client please check this box to receive the $500 discounted tuition rate.

American Express Visa MasterCard

Cardholder Name and Middle Initial:

Card #:

Credit Card Verification Code:
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Expiration Date:

Issuing Bank:


Workshop Refunds, Appointment Cancellations and Retainers Policy

Effective April 2006

Individual and Corporate coaching/consulting retainers, all retainer renewals, and retreat retainers are 100% non refundable.

Coaching appointments canceled without 48 hour notice will be billed in full.

Should for any reason a client cease or take a break in coaching activities, any Individual and Corporate consulting retainer balances will be held in account and be available for use toward coaching activities for a total of 90-days. After 90-days those funds will be transferred to a charity of choice by Clay Nelson Life Balance™.

Individual and Corporate consulting retainers are not transferable to other programs offered by Clay Nelson Life Balance™.

Personal Planning Workshop and What's Next Workshop tuitions are 100% non refundable. In the event of an inability to attend, transfers to a different workshop within one year of originally scheduled workshop are available upon request.

All billings are due and payable upon receipt.

I have read and accept the terms of the Clay Nelson Life Balance™ Refund Policy.

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