Coaching Registration

  • Personal Details

  • Terms & Conditions

    Coaching packages must be paid in full at time of purchase. In the space below enter the full amount of the coaching package you have selected. For credit card charges: By posting this electronic registration form with the following credit card information, you authorize Paige, Martin & Associates, Inc. (Pathways to Successful Living Seminars) to charge the full price of the coaching package to my credit card account.
  • Payment Information

  • Please read carefully and check each box of the agreement.
  • By filling in my name and date below, I acknowledge that I have read, understand and agree to all of the above terms and conditions.

  • Date Format: MM slash DD slash YYYY
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