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Registration

(Back to information page on group coaching)

FEE: Contact me for group-specific fees and availability. (General information on formats and fees is here.)  Minimum commitment for most groups: 3 months.  Payment is in advance of each month, by credit card.

SIZE: Projected group size: 8 participants.

TO REGISTER: Two options:
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Copy the form into email and email it without credit card information (for your protection) to Deanna@Auroracoaching.com. Then call Deanna at 228/863-0006 or Trisha Young, Virtual Assistant, at 618/566-3 with your with your credit card number. Both numbers are in the Central time zone. OR

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Print and fax this form to 228/863-4547. 
 

MEETING TIME/DAYS: (Get this from Deanna, with availability and fee for the group you are joining) ____________________________________________________________________________________________________
E-mail Address:_______________________________________________________________________________________
Telephone Number: _____________________________________________________________________________

Cell Number: (if this is a good way to reach you) ___________________________________________________________
FAX: ________________________________________________________________________________________________
City/State/Country: ___________________________________________________________________________________
What benefits or goals do you want to achieve while in this coaching group?:____________________________________
Have you ever worked with a private coach or in a coaching group before? If so, please describe briefly: _____________________________________________________________________________________________________

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CREDIT CARD PAYMENT
 

By MC/Visa/AMEX (circle your choice)
Card Number ______________________________ Expires_______

Your Printed Name ________________________________

Your Signature ________________________________

Your Billing Address (Street / City / State / Zip or Postal Code / Country)

____________________________________________________________________________________________________

Amount/month ________________________________

Please keep this invoice as your credit card receipt - your fax is being
sent to a secure fax number (228/863-0006)

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"Coaching is not about the past or figuring out why and how life got so complicated or overwhelming. It is about moving forward on the things that matter most to you, dissolving barriers and blocks to your own success, and designing a life that you love.  SAUSALITO.net

 

 

 

 

 

 

 

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Send mail to Deanna@Auroracoaching.com with questions or comments about this web site.
Copyright © 2003 Aurora Coaching
Last modified: 02/16/06
Aurora Coaching / PO Box 1054, Long Beach, MS 39560
Office: 228/863-0006 // Fax: 228/863-4547